Parents who wish to download requests for NICA notice brochures and petitions for benefits may find these forms in this section of the NICA website. Please note, NICA representatives are available to assist parents with filling out petitions.
Brochures
Parent Petitions for Benefits
The following forms are available for you to fill-in online and print. After you have filled in all fields on any form, hit the "PREVIEW FORM" button, and you'll be taken to a page that allows you to review the information you submitted and print the form. Please note that these forms open into a new window, so if you are using a popup blocker, change your setting to allow these forms to appear.
No Attorney Involved
Attorney Represented
If you prefer not to fill-in these forms online, you may also download these forms by clicking on the appropriate link below. Forms are in 'PDF' format. If you do not have Adobe Acrobat Reader, click
here to get it.
No Attorney Involved
Attorney Represented
