Dol ee 2 2026

1. Click ‘Get Form’ to open the dol ee 2 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, relationship to the deceased employee, and contact information.
4. In Item 14, identify any diagnosed conditions related to work exposure. Be specific and attach any necessary medical documentation.
5. Proceed to the Awards and Other Information section. Answer questions regarding any lawsuits or claims filed related to toxic exposure.
6. Finally, list any other potential survivors in Item 22 and ensure all information is accurate before signing and dating the form at the bottom of Page 2.

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