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DEPENDENT CLAIM FOR DEATH BENEFITS
and Funeral Benefits

Effective October 1, 2011 Labor and Employment Articles, 9-683.1 through 9-683.5, Annotated Code of Maryland (House Bill 417 - 2011 legislative session) change benefits provisions when a claim for death benefits is filed with the Workers' Compensation Commission.

Note: Certain public safety employees subject to the statutory presumption set forth in 9-503 are exempt from the death benefits provisions of Labor and Employment Article, 9-683.1 through 9-683.5, Annotated Code of Maryland.  A county or municipal corporation may elect for the death benefits provisions of Labor and Employment Article, 9-683.1 through 9-683.5, Annotated Code of Maryland, to apply to its public safety employees subject to the statutory presumption set forth in 9-503.

Employers - Go to the Dependent Claim for Death Benefits County & Incorporated Municipalities page for information specific to those employers who have the option to permanently opt-in to the new benefits provisions.

 The forms below are available on our CompHub portal.

  • Dependent's Claim for Death Benefits

  • Certification of Funeral Expenses

  • Claim for Funeral Benefits Only

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