Directory Results for Report on the Employer 's Determination of a Claim for Compensation for a Work-related Death . This form should be completed when an employer receives a claim for dependants of a deceased employee under the Seafarers Rehabilitation and Compensati to Report on the Employer 's Determination of a Claim for Permanent Impairment . This form should be completed by the employer when they receive a claim, permanent impairment and non-economic loss under the Seafarers Rehabilitation and Compensation