A DIA form 510 in a death case must be filed unless the employer has actual knowledge that:

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Prepare for the California Self‑Insurance Plans (SIP) Exam with our interactive quiz. Benefit from multiple-choice questions, detailed explanations, and essential tips to enhance your knowledge and succeed in your exam!

Multiple Choice

A DIA form 510 in a death case must be filed unless the employer has actual knowledge that:

Explanation:
In a death case, DIA Form 510 is a report to the division used to identify dependents and determine who may be entitled to death benefits. The rule provides an exemption: if the employer actually knows that the deceased left a surviving minor child, the form does not need to be filed. The presence of a surviving minor child already establishes a dependent situation that the appropriate processes will address, so filing Form 510 would be unnecessary or duplicative. The other dependent scenarios (spouse or former spouse) do not create that specific exemption, so they do not relieve the filing requirement.

In a death case, DIA Form 510 is a report to the division used to identify dependents and determine who may be entitled to death benefits. The rule provides an exemption: if the employer actually knows that the deceased left a surviving minor child, the form does not need to be filed. The presence of a surviving minor child already establishes a dependent situation that the appropriate processes will address, so filing Form 510 would be unnecessary or duplicative. The other dependent scenarios (spouse or former spouse) do not create that specific exemption, so they do not relieve the filing requirement.

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