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NICA :: Parents - Benefits Handbook
NICA :: Parents - Frequently Asked Questions
NICA :: Parents - Forms & Brochures
NICA :: Parents - Links
NICA :: Parents - Privacy Notice
NICA :: Parents - Links
Other Physicians

Parents: Forms & Brochures

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.


Parent Petitions for Benefits

The following forms are available for download, fill-in and print. 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

All information on this website is intended for general informational purposes only and should not be considered legally binding, legal advice, nor substitute for obtaining legal advice from competent legal counsel. Although reasonable efforts are made to keep information on this site accurate, no guarantee is made as to its accuracy.

� 2006 The Florida Birth-Related Neurological Injury Compensation Association