Petition for Review - Delaware: Fill out & sign online

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Click ‘Get Form’ to open the Petition for Review - Delaware in the editor.
Begin by filling in the 'Employer' section with the name of the employer involved in the case. Ensure you also include the SS# and Carrier File # for accurate identification.
In the 'Claimant' section, enter the claimant's name along with their date of injury and hearing number. This information is crucial for processing your petition.
Select appropriate checkboxes under 'Petition for Termination of Benefits' based on your situation, such as if the claimant has returned to work or is physically able to return.
If applicable, complete the 'Petition to Order Vocational Rehabilitation' section by checking if you are requesting cooperation from vocational rehabilitation services.
Finally, fill in your name and address at the bottom of the form, ensuring all details are correct before submission.

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