What is the “Agreement for Compensation for Death” form and when is it used?

 The “Agreement for Compensation for Death” form is used when an employer or insurance carrier agrees to pay death benefits to eligible dependents. It lists the dependents, benefit amounts, and payment schedule. The form is filed with the Industrial Accident Board to make the agreement official.

Source File: Agreement to Compensation for Death
Law Reference: Delaware Code Title 19, §2330