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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 4123-3-07 | Applications for death benefits.


When the death of an employee is the result of a work related injury or occupational disease, the employee's dependents may file an application for death benefits. To be considered a "dependent", a person must be a member of the family of the deceased employee, or bear to the employee the relation of surviving spouse, lineal descendant, ancestor, or brother or sister. An application signed by a person claiming to be a dependent, as described herein, shall be accepted for filing and shall be sufficient to initiate proceedings for workers' compensation benefits and to obtain a ruling on the validity of the claim. If there are no dependents, the application may be filed by the estate of the deceased employee, the attending physician, the funeral director, by a volunteer paying the funeral bill, by a person who authorized the burial and funeral expenses or by the employer, for services rendered because of the injury or occupational disease causing the employee's death.

Last updated April 19, 2022 at 8:27 AM

Supplemental Information

Authorized By: 4121.12, 4121.13, 4121.30, 4121.31
Amplifies: 4121.121, 4123.05, 4123.59
Five Year Review Date: 7/1/2024
Prior Effective Dates: 10/17/1968, 1/16/1978, 10/4/2004, 4/1/2014, 7/1/2019