Which labor code or form is used to notify the Administrative Director of employee death?

Which labor code or form is used to notify the Administrative Director of employee death?

• A. 4610
• B. 4850
• C. 9900
• D. DIA-510

Answer: (C)

Notifying the Administrative Director about an employee’s death is handled through a dedicated death-notification form within the California self-insurance framework. The form designated for this purpose is the 9900. Using this form ensures the SIP records are updated properly and triggers the required administrative actions, such as handling related claims, settlements, and survivor considerations, in compliance with the applicable rules. The other options are used for different reporting tasks and do not specifically address notifying the Administrative Director of a fatality, so they wouldn’t fulfill the required process.

Notifying the Administrative Director about an employee’s death is handled through a dedicated death-notification form within the California self-insurance framework. The form designated for this purpose is the 9900. Using this form ensures the SIP records are updated properly and triggers the required administrative actions, such as handling related claims, settlements, and survivor considerations, in compliance with the applicable rules. The other options are used for different reporting tasks and do not specifically address notifying the Administrative Director of a fatality, so they wouldn’t fulfill the required process.