When a Loved One Dies at Work
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
 When a Loved One Dies at Work (188 KB PDF)
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| Description | 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. |
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| Detail | ||
| Form number | F417-240-000 | |
| Availability | Online only. See document above to download. |
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| 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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| Web pages | ||
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