How to write a death application for work, how to write a death application

Applicant: Gender, date of birth, nationality, place of origin, living in the street, is an employee of the company.

Legal representative: Position.

Requests. The labor department is requested to determine that the applicant's injuries at the time are work-related injuries and deaths in accordance with the law.

Facts & Reasons:

The applicant was an employee of the company, was recruited into the company in the year and month, and worked during the working hours on the year, month and day, because of the accident that occurred in the company, resulting in the death of the applicant. After the applicant was injured, he was hospitalized in a city hospital** and has been in the hospital for ** months now, spending medical expenses.

In accordance with the provisions of the Regulations on Work-related Injury Insurance, the labor department hereby applies to the labor department to investigate and verify the applicant's injury, and determine that the injury is a work-related injury in accordance with the law.

Sincerely. Municipal Labor Insurance Department.

Applicant (Signature):

Remarks: Description: 1. The following materials should be attached to the declaration of work-related injury identification materials:

Quick report of the employee's work-related injury (death) accident, the diagnosis of the first work-related injury of the designated hospital or medical institution, the "Occupational Disease Diagnosis Manual" issued by the occupational disease diagnosis institution after diagnosis, the circumstantial evidence of witnesses of the work-related accident, the analysis and handling opinions of the work-related accident of the enterprise, and the personnel file of the employee himself.

2. This form shall be filled in in quadruplicate, step by step, and after being identified, one shall be deposited in the enterprise, one shall be deposited in the competent department, one shall be sent to the work-related injury insurance agency, and one shall be deposited in the work-related injury identification department of the labor and social security administrative organs, and the number shall be uniformly compiled by the work-related injury identification department.

If an employee dies on the job, his or her immediate family members can receive a funeral allowance, a pension for dependent relatives and a one-time work-related death allowance

1. The funeral subsidy is 6 months of the average monthly wage of employees in the overall area in the previous year;

2. The pension for dependent relatives shall be paid to the relatives who provided the main living allowance and were unable to work according to a certain proportion of the employee's own salary.

You don't even know how to report, how do you do your job?

It's best not to apply. There is no application for death.

Legal analysis: Specifically, the local civil affairs department shall be consulted, and if a person dies of illness in a medical institution at any level, the medical institution shall be responsible for issuing a "Medical Certificate of Death", and for a person who dies of illness at home, the community health service center or township health center at the place of death shall be responsible for issuing a "Medical Certificate of Death".

Legal basis: "Regulations of the People's Republic of China on Household Registration" Article 8 When a citizen dies, before the burial of a citizen, the head of the household, relatives, dependents or neighbors shall report the death registration to the household registration authority and cancel the household registration. If a citizen dies in the place of temporary residence, the registration authority of the household registration department of the place of temporary residence shall notify the household registration authority of the place of permanent residence to cancel the household registration.

If a citizen dies as a result of an accident or the cause of death is unknown, the head of the household or the person who discovered it shall immediately report it to the local public security police station or the township or town people's committee.

Legal Analysis: A death petition is an application for a declaration of death. Declaration of death refers to a civil legal system in which a citizen's whereabouts are declared unknown for a certain period of time upon the application of an interested party and by the people's court in accordance with the procedures prescribed by law.

The conditions for declaring death are: the person whose whereabouts are unknown for four years or the person whose whereabouts are unknown due to an accident is two years from the date of the accident. Where their whereabouts are unknown during the war, the period of their whereabouts is unknown is calculated from the date on which the war ends.

The procedure for declaring death is as follows: the interested party shall apply to the people's court. Interested parties include his spouse, parents, children of Cheng Xiaotan or other relatives who are close to Mengfeng, such as grandparents, grandchildren, grandchildren, etc.

The date on which the people's court decides to declare death is the date of death of a citizen, and after a citizen is declared dead, the legal consequences are the same as those for the natural death of the citizen, and a certain legal relationship is terminated and arises. If the person who has been declared dead reappears or knows that he is not dead, the people's court shall revoke the declaration of death upon application by the person or an interested party. Civil juristic acts performed by a person with civil capacity during the period when he is declared dead are valid.

A person whose death declaration has been revoked has the right to request the restitution of property. A citizen or organization that acquires his property in accordance with the inheritance law shall return the original property; Where the original does not exist, appropriate compensation shall be given. Where a declaration of death is submitted to the people's court, a written application shall be submitted.

When filling out the application form, attention should be paid to explaining the reasons and reasons for the person being declared dead in the application, and the relationship between the applicant and the respondent.

Legal basis: Article 46 of the Civil Code of the People's Republic of China Where a natural person has any of the following circumstances, the interested party may apply to the people's court for a declaration of death of the natural person:

1) Whereabouts have been unknown for four years;

2) Due to an accident, the whereabouts have been unknown for two years.

Where the whereabouts of the natural person are unknown due to an accident, and it is proved by the relevant authorities that it is impossible for the natural person to survive, the application for a declaration of death is not subject to the two-year time limit.