The employer shall provide a claim form in how many days?

• A. One year from date of death
• B. 30 days
• C. 7 days
• D. 60 days

Answer: (A)

When a worker dies from a work-related cause, the employer must timely provide the claim form to the employee’s dependents or legal representative. The required timeframe is within one year from the date of death. This one-year window ensures dependents have a full, statutory period to initiate a claim for death benefits and preserves their rights under the workers’ compensation system. Shorter timeframes like 30 days, 7 days, or 60 days would not meet the established filing window and could jeopardize the ability to obtain benefits. The one-year deadline aligns with the typical filing period for death claims, supporting a prompt yet fair process for both sides.