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Mine Location EP Management Corporation b County a City Vale c State Malheur 10. Primary Mineral Mined 11. Date/Time of Death 07/14/2017 08 25 AM 5. Fatal Case No 07/14/2017 09 39 AM 6. Mine Information a Mining Company Name b Mine Name EP Minerals LLC c Parent of Mining Company Celatom Plant 7. PR001 U.S. Department of Labor Preliminary Report of Accident 21-Jul-17 2. Accident Classification 1. Accident Investigator 35. MSHA Person Notified Ronald J. Jacobsen 37. Name of Preparer and Date...
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01
Start by obtaining the necessary information about the deceased person, such as their full name, date of birth, and location of death.
02
Next, determine the exact date and time of death by referring to official records, such as medical or legal documents.
03
When filling out the datetime of death, use the standard format of Month/Day/Year and include the exact time using the 24-hour clock format.
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Who needs datetime of death?
01
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What is datetime of death?
Datetime of death is the exact date and time when a person passed away.
Who is required to file datetime of death?
The next of kin or legal representative of the deceased individual is required to file the datetime of death.
How to fill out datetime of death?
To fill out the datetime of death, you need to provide the date and time of death of the deceased individual.
What is the purpose of datetime of death?
The purpose of datetime of death is to officially record the exact time when a person passed away for legal and administrative purposes.
What information must be reported on datetime of death?
The information that must be reported on the datetime of death includes the date and time of death of the deceased individual.
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