(1) that the miner is and has been a resident of this state for a period of two years immediately preceding the filing of the miner's application;
(2) that the miner has been employed in the mines of this state for a period of at least five years and that the disability from which the miner is suffering and for which the miner is in need of hospital and medical treatment is due to such employment;
(3) that the miner is physically incapable of entering remunerative employment and holding a job;
(4) that the miner's disability is such that hospital and medical attention is necessary; and
(5) that the miner is financially unable to secure and pay for hospital and medical service.
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