Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation

State:
Ohio
City:
Akron
Control #:
OH-C59-WC
Format:
PDF
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Description

This is one of the official workers' compensation forms for the state of Ohio.

The Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation is a legal document that outlines the terms and conditions under which self-insurers in Akron, Ohio provide compensation in the event of an employee's death due to a work-related incident. This agreement ensures that employees and their families are adequately protected and compensated in the unfortunate event of a fatal workplace accident. Within the Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation, there may be different types of agreements depending on specific circumstances. These can include: 1. Lump Sum Death Benefits: This type of agreement involves a one-time payment made to the dependents or beneficiaries of the deceased employee. The amount typically depends on factors such as the employee's wage, age, and the number of dependents. 2. Weekly Death Benefits: In this type of agreement, compensation is provided in the form of weekly payments to the dependents or beneficiaries of the deceased employee. The amount is usually a percentage of the deceased employee's average weekly wage. 3. Funeral Expenses: The agreement may include provisions for covering reasonable funeral and burial expenses incurred as a result of the employee's death. This is to ensure that the financial burden of funeral costs is not placed on the deceased employee's family. 4. Dependency Benefits: If the deceased employee leaves behind dependents who were reliant on their income, the agreement may outline the provision of ongoing financial support to these dependents. This can include payments to cover living expenses, education, healthcare, and other necessary costs. 5. Survivor Benefits: In cases where the deceased employee was the primary wage earner, the agreement may provide survivor benefits to the surviving spouse or children. These benefits may be based on a certain percentage of the deceased employee's average weekly wage. The Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation aims to provide fair and adequate compensation to the dependents or beneficiaries of employees who tragically lose their lives while performing their job duties. It is a critical document that ensures the well-being and financial security of the deceased employee's loved ones during a difficult time.

The Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation is a legal document that outlines the terms and conditions under which self-insurers in Akron, Ohio provide compensation in the event of an employee's death due to a work-related incident. This agreement ensures that employees and their families are adequately protected and compensated in the unfortunate event of a fatal workplace accident. Within the Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation, there may be different types of agreements depending on specific circumstances. These can include: 1. Lump Sum Death Benefits: This type of agreement involves a one-time payment made to the dependents or beneficiaries of the deceased employee. The amount typically depends on factors such as the employee's wage, age, and the number of dependents. 2. Weekly Death Benefits: In this type of agreement, compensation is provided in the form of weekly payments to the dependents or beneficiaries of the deceased employee. The amount is usually a percentage of the deceased employee's average weekly wage. 3. Funeral Expenses: The agreement may include provisions for covering reasonable funeral and burial expenses incurred as a result of the employee's death. This is to ensure that the financial burden of funeral costs is not placed on the deceased employee's family. 4. Dependency Benefits: If the deceased employee leaves behind dependents who were reliant on their income, the agreement may outline the provision of ongoing financial support to these dependents. This can include payments to cover living expenses, education, healthcare, and other necessary costs. 5. Survivor Benefits: In cases where the deceased employee was the primary wage earner, the agreement may provide survivor benefits to the surviving spouse or children. These benefits may be based on a certain percentage of the deceased employee's average weekly wage. The Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation aims to provide fair and adequate compensation to the dependents or beneficiaries of employees who tragically lose their lives while performing their job duties. It is a critical document that ensures the well-being and financial security of the deceased employee's loved ones during a difficult time.

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Akron Ohio Self-Insurer's Agreement as to Compensation on Account of Death for Workers' Compensation