When a Loved One Dies at Work

When a Loved One Dies at Work - (Forms/Publications)
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Title   When a Loved One Dies at Work (188 KB PDF)

Brochure: Provides information to loved ones of workers who died from a job-related injury or illness, including how to apply for survivor benefits. Explains the L&I fatality investigation and how family members can stay informed of the investigation's status.

Form number F417-240-000
Online only. See document above to download.
Keywords deceased, deceased worker, injury, investigate, investigation, job, pension, surviving children, surviving spouse, survivors, survivors, violation, worker
Languages English , Spanish
Valid dates 08-2012
Contact information Safety & Health Topics
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