Ee 2 2026

1. Click ‘Get Form’ to open the ee 2 document in the editor.
2. Begin by filling out the Deceased Employee Information section. Clearly print the name, sex, social security number, date of birth, and date of death. If applicable, indicate whether an autopsy was performed.
3. Next, complete the Survivor Information section. Provide your name, sex, social security number, date of birth, address, relationship to the deceased employee, and telephone numbers.
4. In Item 14, identify any diagnosed conditions related to work exposure. Be specific and attach any necessary medical documentation.
5. Proceed to answer questions regarding any lawsuits or workers' compensation claims in the Awards and Other Information section. Ensure you provide copies of relevant documentation if applicable.
6. Finally, list any other potential survivors in Item 22 and ensure all information is accurate before signing and dating at the bottom of Page 2.

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