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Pennsylvania DEPARTMENT Of HUMAN SERVICES REPORT ON THE FATALITY OF: Sebastian Wallace Date of Birth: 7/17/2012 Date of Death: 10/22/2014 Date of Oral Report: 10/27/2014 FAMILY KNOWN TO: Philadelphia

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What is report on form fatality?

Report on form fatality is a document that must be filed to report any fatalities that occurred within the workplace.

Who is required to file report on form fatality?

Employers are required to file report on form fatality.

How to fill out report on form fatality?

Report on form fatality can be filled out online or in paper form, providing all necessary information such as date of incident, location, and details of the fatality.

What is the purpose of report on form fatality?

The purpose of report on form fatality is to ensure transparency and accountability regarding workplace fatalities.

What information must be reported on report on form fatality?

Information such as date of incident, location, details of the fatality, and any contributing factors must be reported on report on form fatality.

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