3906Application for arbitration—by dependant or estate of

3906 Application for arbitration—by dependant or estate of deceased worker (1) A dependant, or the personal representative, of a deceased worker may ask that a claim be decided by arbitration by filing an application Note See approved form 3.58 (Application for arbitration by dependants or personal representative of deceased worker) AF2006-495.

Rule 3907 (a) contain details of each dependant on whose behalf the application is made; and (b) state briefly, but specifically, the claim to be arbitrated; and (c) be accompanied by a certified copy of— (i) the worker’s death certificate; and (ii) the birth certificate of each dependant. dependant includes a person claiming to be a dependant.