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PENNSYLVANIA COAL MINE WORKERS COMPENSATION MANUALRULES, CLASSIFICATIONS AND RATING VALUES FOR WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCECOAL MINE COMPENSATION RATING BUREAU OF PENNSYLVANIA (Effective

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How to fill out coal mine compensation rating

01

Gather all necessary information related to the coal mine compensation rating form.

02

Start by providing your personal details such as name, address, contact information, and social security number.

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Next, provide details about your employment history in the coal mining industry, including the names of the companies you worked for, dates of employment, and job positions held.

04

Enter information about any work-related injuries or health issues you have experienced due to coal mining activities.

05

Describe the specific compensation benefits you are seeking, such as medical expenses, lost wages, or disability benefits.

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Submit the filled-out coal mine compensation rating form to the relevant authority or organization responsible for processing such claims.

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Follow up with the authority or organization to inquire about the progress of your claim and provide any additional information if requested.

Who needs coal mine compensation rating?

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Coal miners who have suffered work-related injuries or health issues due to coal mining activities.

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Family members or dependents of coal miners who have passed away or become disabled as a result of coal mining activities.

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Advocates or legal representatives assisting coal miners in filing compensation claims.

04

Authorities or organizations responsible for processing and assessing compensation claims related to coal mining accidents or health hazards.

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