For families - Threads of Life · For families of deceased workers that had WCB coverage, the WCB...
32
For families a resource guide for survivors
Transcript of For families - Threads of Life · For families of deceased workers that had WCB coverage, the WCB...
For familiesa resource guide for survivors
This guide is meant to provide you with information and practical advice that you may find useful in the early years following the loss of your loved one.
This guide was produced by Threads of Life — the Association for Workplace Tragedy Family Support (Threads of Life) in partnership with:
• AlbertaJustice
• AlbertaEmploymentandImmigration(WorkplaceHealthandSafetydivision)
• Workers’CompensationBoardofAlberta(WCB–Alberta).
Threads of Life is a national, charitable, not-for-profit organization dedicated to supporting families whohavebeenaffectedbyaworkplacetragedy,whichwegenerallydefineasafatality,alife-alteringinjury, or a life-altering occupational disease.
InAugust2007,anAlbertacompanywasfinedforfailingtoprotectaworkerwhoreceivedalife-altering injury in a manufacturing incident. Under the “creative sentencing” provisions in the Alberta Occupational Health and Safety Act, a portion of the fine was directed to Threads of Life to produce two resource guides. The guides are entitled:
• ForFamilies–AResourceGuideforSurvivors
• ForFamilies–AResourceGuideforSeriouslyInjuredWorkersandtheirFamilies
OntheinsidebackcoverofeachguidewehaveincludedaDVDwhichcontainsawiderangeofadditionalinformation.TheDVDincludes:
• A video entitled “Beginning of Forever,” which includes first-hand comments from families like yours that have experienced a workplace tragedy, whether a serious injury or fatality.
• A series of informational video segments that will help you understand different processes, such as injury or fatality investigations and court proceedings, as well as the services and benefits you may receive from the workers’ compensation system.
TheproductionoftheDVDwasledbyAlbertaJustice,inpartnershipwithAlbertaEmploymentandImmigration(WorkplaceHealthandSafetydivision),WCB–AlbertaandThreads of Life.
Familieslikeyours–whohavealsobeenthroughaworkplacetragedy–haveprovidedvaluableinsightsinthedevelopmentoftheseguides.Similarly,manypeoplecourageouslytookpartintheDVDproject,bysharingtheirstoriesandexperiences.Weacknowledgeandthankthemfortheir assistance.
Threads of LifewouldalsoliketoacknowledgeWorkSafeBCandtheWorkplaceSafetyandInsuranceBoardofOntariofortheirinvolvementinearlierpublications,whichhelpedtolaythefoundationforproduction of these guides.
Athirdresourceguideinthe“ForFamilies”serieshasbeenindependentlyproducedbyThreads of Life,entitled“ForFamilies–AResourceGuideforWorkersandtheirFamiliesCopingwithSeriousLife-AlteringOccupationalDisease.”
For families
1
Contents
About this Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
About the DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Who Will Contact the Family? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Important Facts About Workplace Fatalities in Alberta . . . . . . . . . . . . . . . . . . . . . . . . 4
Important Legislation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Workers’ Compensation Board – Alberta (WCB) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5GriefCounselling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6FinancialAssistanceforFuneralExpenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6YourApplicationforWCBBenefits(WCBClaim) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6LabourMarketRe-entryServices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7IfYourClaimisNotAccepted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7CantheFamilySue? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Canada Pension Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8MakinganApplicationforCPPbenefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9HowsooncanIreceiveCPPbenefits? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9CanIreceiveCPPandWCBbenefitsatthesametime? . . . . . . . . . . . . . . . . . . . . . . . 9
Investigation of the Fatality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
The Role of the Chief Medical Examiner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Willtherebeanautopsy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11CMEandWHS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11DealingswiththeCME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12AboutFatalityInquiries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
What if the media calls? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Other Practical Matters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Checklist: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Helpful Contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15AlbertaGovernmentContacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Distress, Grief and Bereavement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Closing Thoughts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
My Contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
2
For families
3
AboutthisGuideAtraumaticdeathcanleavefamilymembersshocked,overwhelmedandinneedofimmediate support and practical assistance. Inmanycases,familymemberswillnotknowwhattoexpectandmanyquestionswill arise.
ThisguideandtheassociatedDVDwillhelpyou understand:
• theservicesandbenefitsthatmaybeavailabletoyoufromtheWorkers’CompensationBoard–Alberta(WCB)
• therolesofcertainorganizationsthatyou may deal with in the months ahead, includingtheWorkplaceHealthandSafety(WHS)divisionoftheAlbertaGovernmentdepartmentofEmploymentandImmigration(EI)
• theroleoftheprovincialCrownProsecutor’sofficeinregardstocourtproceedings that may arise from a workplacefatality
• informationthatmayhelpyouandyourfamily as you go through different phases of grief or bereavement, and
• resourcesandcontactstohelpyouinformyourselfandseekoutadditionalsupports or services, now or over time.
Pleasenotethatalthoughthisguideisgenerallyaddressedtothedeceasedworker’sspouseorpartner,thenextofkinorotherfamily members, we also hope it will be of assistance to any other readers who may be playing a supportive role following the fatality.
AbouttheDVDTheDVDisaresourcethatyoucanviewatanytime.IfyouhavefurtherquestionswhicharenotansweredbytheDVDorthisguide, we hope you will use the contacts listed in this guide to get more information or support.
4
WhoWillContacttheFamily?Intheearlydaysfollowingaworkplacefatality, you may be contacted by different people, or you may have to initiate the contact.
Thismayincludeyourlovedone’semployer,theWCB,aWorkplaceHealthandSafetyinvestigator,thelocalpoliceorRCMP,apoliceVictimServicesrepresentative,theOfficeoftheChiefMedicalExaminer,afuneral home, friends, relatives, the media and many others.
The following pages provide basic information about some of the main contacts you will have with government or regulatory agencies.
ImportantFactsAboutWorkplaceFatalitiesinAlbertaAdeceasedworkermusthavebeenemployed by an employer covered under the Workers’ Compensation Act in order for the surviving family to be eligible for WCBbenefitsorservices.Therearesomeinstances where others may be eligible, such as contractors that are deemed tobeworkers,orvolunteersthatmayholdworkerstatusundertheWorkers’ Compensation Act.
WHS onlyinvestigatesworkplacefatalitiesthat fall within their jurisdiction under Alberta’sOccupational Health and Safety ActorotherAlbertalegislation.
HumanResourcesandSocialDevelopmentCanada(HRSDC)isresponsibleforinvestigatingworkplacefatalitiesinfederally-regulated organizations that operateinAlberta,suchasrailways,thetelecommunications industry, interprovincial transport companies and federal government departments.Insomecases,theremaybe a joint federal-provincial investigation. ForinformationaboutHRSDC’sfatalityinvestigationprocesses,contactHRSDC.Refertothecontactinformationonpage____.
For families
5
ImportantLegislationLegislation that may be of interest to readers of this guide includes:
• OccupationalHealth&SafetyAct,Regulation and Code
• Workers’CompensationActand associated regulations
• FatalityInquiriesAct
• AdultInterdependentRelationshipsAct and AlbertaInterdependentPartnerAgreement Regulation
InAlberta,apersonisanadultinterdependent partner if:
— the person has lived with the other person in a relationship of interdependence for a continuous period of not less than 3 years, or of some permanence, if there is a child of the relationship by birth or adoption, or
— the person has entered into an adult interdependent partner agreement with the other person.
Inthisguide,forsimplicity,wehaveshortened all usages of the term adult interdependent partner to partner.Wealsouse the terms spouse, partner and common-law partnerequally,assomefederallegislation refers to the common-law term. The use of these terms in this guide generally relates to the eligibility of a deceased person’sspouse,partnerorcommon-lawpartnertoreceivesurvivor’sbenefits.
Workers’CompensationBoard–Alberta(WCB)Within24businesshoursofbeingnotifiedofaworkplacefatality,aWCBSpecialNeedscasemanagerwillpersonallycontactthedeceasedworker’sfamily.Duringtheinitialcontact,theSpecialNeedscasemanagertellsthefamilythattheWCBisaware of the fatality and sensitively informs thefamilywhattheycannowexpect,intermsofWCBbenefits,supportandservices.
TheWCB’sgoalistoestablishaclaimforWCBbenefitsasquicklyaspossible,inordertoassisttheworker’sfamily immediately.
YourWCBSpecialNeedscasemanagermayprovide general supports such as:
• contactingfamilymembersforyou
• assistingwithfuneralarrangements
• helpingyoucompleteforms
• contactingschoolcounsellors
• settingupgriefcounselling
The Special Needs case manager is an important contact because they are assigned to provide support to you and generally assist you in applying for any WCB benefits to which you and your family may be entitled.
6
Grief CounsellingGriefcounsellingisoneofmanyservicesofferedbytheWCBtosurvivingspousesorpartners.Duringtheinitialdiscussionwiththefamily,theWCBSpecialNeedscasemanager will offer the services of a licensed psychologist, from a list of approved service providers.
You may wish to consider grief counselling intheearlydaysorweeksafteryourloss,and at other times in the first year or beyond. Manyfamiliesthathaveexperiencedaworkplacefatalityhavestatedthatgriefcounselling has been very helpful to them in coping with their loss and with moving on in life.
Financial Assistance for Funeral ExpensesForfamiliesofdeceasedworkersthathadWCBcoverage,theWCBpaysupto,butnotexceeding,$8,150towardstheburial,cremation or memorial service for the deceasedworker.
TheWCBwillpayupto$550towardsanycosts incurred in the transportation of the bodywithinAlberta,orupto$1,000ifthebodymustbetransportedoutsideofAlberta.
Theworker’sfamilymayalsoreceiveaseparatepaymentof$1,300toassistwithanyextracostsassociatedwitharrangingthefuneral.YourSpecialNeedscasemanagerwillansweranyofyourquestionsaboutfuneralexpensesandrelatedmatters.
You may be able to use funeral funds from theCanadaPensionPlan(CPP)topayforsomeorallofthecostsabovetheWCBmaximum.WorkerswhohavecontributedintotheCPPduringtheirworkinglivesaregenerallyeligibleforCPPbenefits,includingfuneralexpenseswithinsetamounts.Refertopage___formoreinformationonCPPbenefits.
Your Application for WCB Benefits (WCB Claim)TheSpecialNeedscasemanagerwillhelpyoumakeanapplicationforanyWCBbenefits or services that you may be entitled to as the surviving spouse or partner, including benefits for any surviving children.
The benefits and services you are entitled to are based on a number of criteria, such as:
• thewagesofthedeceasedworkeratthetime of injury
• iftherearedependentchildren
• ageofchildren
• abilityofspouseorpartnertowork
• willingnessofspouseorpartnerto participate in services/benefits providedbytheWCB,suchaslabourmarketre-entry
For families
7
Labour Market Re-entry ServicesIfyouarethedependantspouseorpartnerofthedeceasedworker,youareentitledtothesamelabourmarketre-entryservicestowhichanyworkerwithWCBcoverageis entitled. This is in accordance with WCB Policy04-08.AllpoliciesintheWCBPolicyandInformationManual can be viewed on theWCB’swebsite.
The intent of these services is to help you find meaningful employment at the highest wagepossible,basedonyourexperienceand training.
Iftherearenochildrenunder18atthetimeofaworker’sdeath,theseservicesstart immediately. For surviving spouses with children, they can use the labour marketre-entryservicesbeforetheyoungestchild turns 18 or when the youngest child turns 18.
Ifthechildrenareunder18,thesurvivingspousecanreturntotheworkforcewithoutaffectingtheamountofWCBbenefitsbeing received.
Examplesoflabourmarketre-entryservices include:
• careercounselling
• sponsorshipofwagesduringthefirstthree months of on-the-job training with an employer
• assistancewithjobplacement,suchasresumes,interviewingtechniquesandemployer contacts
• paymentofsomecostsassociatedwitheducationandtraining,e.g.,books,tuition, supplies, childcare, etc.
If Your Claim is Not AcceptedAllWCBdecisionscomewithawrittenexplanationaboutthedecision,aninvitationto contact the case manager to discuss your concerns and the time limits for appealing the decision. Your case manager is prepared to discuss the reasons for a decision with you.
Ifyouwishtoappealthedecision,thereisaprocess to follow.
• ThefirststepistocontactyourSpecialNeedscasemanagerandinformthecasemanager of your wish to appeal.
• Typically,areviewofthedecisionwill first be done by the case manager’ssupervisor.
• Ifyoustillwishtocontinueyourappealafterthesupervisor’sreview,thenextstepistorequestareviewbytheWCB’sDisputeResolutionandDecisionReviewBody.
• Ifyoudonotacceptthereviewbody’sdecision, the last stage of appeal is to requestareviewofthedecisionbytheAppealsCommission.
Inallofthesesteps,youareentitledtoreceive information and guidance from the WCB’sOfficeoftheAppealsAdvisor.
Ifthedeceasedwasamemberofaunion,the union may also be able to provide information or assistance to the family. Youmayalsowishtoseeklegaladviceorcounselfromworkers’compensationconsultantsintheprivatesector.Besuretocheckforcredentialsorreferenceswhenengaging legal or other assistance.
8
Can the Family Sue?No.Theworkers’compensationsystemisano-faultinsurancesystem.UnderSection23of the Workers’ Compensation Act, when an accidentinvolvesaworkercoveredunderthe Act,andthataccidentoccursinAlberta,theworker(andthus,thefamily)doesnothavetherighttosueanyotherworkeroranyemployer.
However,underSection22oftheWorkers’ Compensation Act,theWCBitselfmay,in some cases, bring an action against a thirdparty,i.e.,ifthereisaperson(s)whois responsible, or partially responsible for theaccidentandwhoisnotaworkeroremployer under the Act.IftheWCBactionis successful, the proceeds of that action are distributed in accordance with sub-section 22(11)oftheWorkers’ Compensation Act.
CanadaPensionPlanInorderforadeceasedworker’sspouseor family to be eligible for any benefits undertheCanadaPensionPlan(CPP),thedeceasedworkermusthavecontributedtotheCPPintheirworkinglife.Therearethreetypes of benefits:
• Thedeath benefit is a one-time payment to, or on behalf of, the estate of a deceasedcontributor.Themaximumdeathbenefitis$2,500andmaybeusedtowardsfuneralexpenses.
• Thesurvivor’s pension is a monthly pension paid to the surviving spouse or common-law partner.
• Thechildren’s benefit is a monthly benefit for dependent children.
ItisimportanttoapplyforCPPbenefits.Ifyoudonotapply,youmaymissoutonbenefits that could be helpful.
For families
9
Making an Application for CPP benefitsYou must complete an application for each type of benefit. Usually, you can get application forms from funeral homes. Funeral directors often offer to help completetheseformstheweekfollowingthefuneral.YourWCBcasemanagermayalsogive you helpful guidance.
YoucanalsocontactHumanResourcesandSocialDevelopmentCanada(HRSDC).There are online forms available on the HRSDCwebsiteforallthreetypesofbenefits.InadditiontotheHRSDCwebsite,you can access these forms via the federal government’sServiceCanadawebsite.Pleaserefertopage___forHRSDCandServiceCanadacontactinformation.
How soon can I receive CPP benefits?ItwilltakeseveralweekstoprocessyourapplicationsforCPPbenefits.Benefitsarepayablethemonthafterthecontributor’sdeath. The death benefit, which may be used towardsfuneralexpenses,ispayableassoonas the application is processed.
Can I receive CPP and WCB benefits at the same time?Yes.TheWCBdoesnotreduceyourWCBbenefitsevenifyoualsoreceiveCPPbenefits.
InvestigationoftheFatalityWHSassignsaLeadInvestigatortoeachworkplacefatalityincident.TheLeadInvestigatorwillkeepintouchwithyouinthe months ahead.
Typically, the initial fatality investigation will takethreetofivedays,afterwhichtheLeadInvestigatorwillsendoutalettertothenextofkin,usuallywithinaweekortendaysofthe incident.
IfyouwishtohavedirectcontactwiththeLeadInvestigator,youmayusethecontactinformationprovidedinthelettertokeepintouch over time. Other families who have gonethroughaworkplacetragedyoftenrecommendthatyoukeepinregularcontactwiththeWHSLeadInvestigator.
ItcantakeuptosixmonthsormoretocompleteaFatalityReport.FatalityReportsarecompletedinsequence,basedonthedateofthefatality.Ifprosecutionisrecommended, the report will not be released until after any legal proceedings are completed.
Inmanycases,theLeadInvestigatorwillbe willing to meet with you in person. Basedonexperience,thiskindofmeetingor contact allows the involved parties to review how the report is coming along, and to sometimes clarify facts, rumours or issues about the case.
10
Steps in the Fatality Investigation
TheLeadInvestigatorcollectsevidenceandcompilesadraftFatalityReport,liaisingwithotherpartiesasneeded,suchaspolice,theChiefMedicalExaminer,theemployer,witnessesandoutsideexpertsorconsultants.Expertsorconsultantsarecommonlyengagedinregardstotechnicalissuesand/orincidentinvestigationdetails,and to help determine contributing factors and root causes of an incident.
The general aim of the Fatality Report is to determine all of the contributing factors and the root cause of the incident. By learning from past incidents, future or similar incidents may be avoided.
When the draft Fatality Report is completed it then undergoes a vigorous technical review within WHS, as well as a review by senior management.
Insomecases,ifrecommendedbyseniormanagement,thefinalizedFatalityReportissenttoAlbertaJustice(RegulatoryProsecutions)forreviewbyaspecializedOHSprosecutor.
The OHS prosecutor will review the entire Fatality Report, including witness statements and other key elements. TheprosecutorwillalsospeaktotheLeadInvestigatorfromWHSandotherpersonswithakeyrole,suchastechnical experts, the police or others.
Afterthisthoroughreview,theOHSprosecutorwillconsultwiththeChiefofRegulatoryProsecutions.Ifthereisenough evidence to prove wrongdoing on the part of any one party or person, then charges may be laid.
Inordertolaycharges,theOHSprosecutormustconsiderthatthereisareasonablelikelihoodofconvictionorelse the charges will not be laid.
AlbertaJustice(OHSprosecutor)mustlaychargeswithintwoyearsofthedateofthefatalityincident,inaccordance with a two-year statute of limitations in the OccupationalHealth&SafetyAct.
Charges may be laid against employers, supervisors or workers. They may be charged jointly or individually.
Prosecutionsaredoneinthepublicinterest,withageneralaimtohaveadeterrenceeffectonemployersandemployeesbyhandingdownfinesand/orpenaltiesavailableundertheOccupationalHealth&SafetyAct.
Fatality reports are not made public or posted on the WHS website until it is clear that no legal proceedings will be undertaken, or until the completion of any legal proceedings.
Ifnochargesaretobelaid,thereportisofferedfirsttothefamilyfortheirreview.Ifthefamilyacceptstheoffer,thereportisprovided.Inthisway,thefamilycanseethereportbeforeitisreleasedtothepublic.Similarly,theemployerisprovidedachancetoreviewthereportatthisstage.Inbothcases,thisisdoneasacourtesyto the involved parties and to ensure that the report contains no unintentional errors, such as clerical errors or misspellings of names.
PleaserefertotheDVDformoreinformationonregulatoryprosecutions,courtprocessesandWHS investigations.
For families
11
TheRoleoftheChiefMedicalExaminerUnder the FatalityInquiriesAct, the office ofAlberta’sChiefMedicalExaminer(CME)mustbenotifiedofallworkplace-related deaths.
InaccordancewiththeFatalityInquiriesAct, any occupational death must be recorded onaCertificateofMedicalExaminer.This document notes the manner and cause of death, so it is different from the basicCertificateofDeathandprovidesmore detail.
TheCertificateofMedicalExaminerprovidesthemedicalcause(e.g.,workrelated)ofdeath,themanner(e.g.,accidental)ofdeath,andabriefdescriptionof the circumstances. The Office of the ChiefMedicalExaminerwillnotprovidethis document to any institution or person without written authorization from the adult nextofkin.
TheCertificateofMedicalExaminerisanimportantdocument.Insurancecompanies,banksorlawyersoftenrequireacopyofthisdocument. The manner and cause of death are important in determining the claim. Similarly,itmayalsoaffectyourWCBandCPPclaims.
TheCertificateofMedicalExaminerwillonlybesignedaftertheCMEcompletesa full report on the manner and cause of death.Thiscantakeuptothreeorfourmonths,partlybecausetheCMEmustcarryoutdrugandalcoholtoxicologytestingforallworkplace-relateddeaths.
Will there be an autopsy?Afteraworkplacefatality,theCMEwilldecide whether an autopsy is necessary to help determine the cause of death. This will only happen when a reasonable doubt about themedicalcauseofdeathexists.
Forexample,inthecaseofafatalityinvolvingindustrialequipmentormachinery, the cause of death may be fairlyclear,suchasequipmentfallingonorimpactingtheworker.Inothercases,thecause may be less clear, such as incidents involvingthe“suddencollapse”ofaworkeratwork.Thiskindofincidentmayinvolvetoxicsubstances(e.g.,exposuretohydrogensulphide),perhapsaheartattackorseizure,orotherunknowncauses.Insuchcases,theCMEwillnormallydecidetoconductanautopsy to help determine the actual cause of death.
TheCMEdoesnotneedthepermissionofthenextofkintoperformanautopsy.Anautopsymayincludecomplexlaboratorytests,soitmaybesomeweeksormonthsbeforeresultsareknown.
CME and WHSTheCME’sinvestigationisdifferentfromtheWHSinvestigation.TheWHSinvestigationis largely directed at finding the contributing factors and root cause of the fatality incident.TheCME’sjobistoinvestigatefrom a medical viewpoint, identifying the mannerandcauseofdeath.BoththeCMEandtheWHSLeadInvestigatorwillshareinformationbackandforthregardingtheirrespective investigations, in order to ensure both parties have a full understanding of relevant facts or factors that may have contributed to the death.
12
Dealings with the CMEInourexperience,theCME’sofficeisalwayswillingtospeakwiththefamily.Prepareyourquestionspriortocontactingtheoffice.TheCMEorhis/herrepresentativeswillverbally give you as much information as they are allowed to at that time.
About Fatality InquiriesFatalityinquiriesdirectlyrelatedtoworkplacedeathsareinfrequent.Thisis generally because most incidents are investigatedquitethoroughlybyWHS,aswell as police services.
Courtactionsarisingfromaworkplacefatalityhavetoberesolvedbeforeaninquirycanbeheld.TheCMEdoesnotreceivetheFatalityReportfromWHSuntilanyactionagainst the employer is concluded.
Whatifthemediacalls?Whensomeonediesinaworkplacefatalityincident, the media usually reports on the matter. Members of the media may contact you, your family or friends for a comment about what has happened.
The following may be helpful to you.
• Youdonothavetospeaktothemediaifyoudonotwantto.Simplytellthemthatyou have no comment.
• Ifyouchoosetospeaktothemedia,youmaywanttoappointaspokesperson.This may be a family member or a friend of the family.
• Alwaysaskthenameofthejournalistand what media outlet they represent. Taketheircontactnumbers.
• Don’tbowtopressure.Feelfreetotellthereporterthatyouwillcallthembackifyou’refeelingrushedoryouarenotreadytotalk,orifyou’vechangedyourmindandnolongerwanttospeaktothem.
• Befirmaboutwhatyoudoanddonotwanttodiscusswiththemedia.Talkwithyour family members and be very clear asafamilyaboutwhatisokaytosaypublicly.
• Avoidspeculationorguessing.
• Ifyouarenotcomfortablewiththequestion,don’tanswerit.
• Youcansetboundarieswiththepress–sticktowhatyou’recomfortablewith.
For families
13
OtherPracticalMattersDuringthisverydifficulttime,youwillbebusy. There are many details and practical matters to attend to, so we have made a checklisttohelpyoukeeptrack.Thelistisnot comprehensive and some items may not apply to your situation, but we hope this helpstoremindyouofsomeimportanttasksthat you should address.
Inadditiontothechecklistbelow,takesometimetothinkaboutotherpracticalmattersandaddyourownitemstothischecklistinthe space provided.
Your funeral home is also a good source of information. They may have a resource centre that can be used by you and your family as you attend to practical matters.
Checklist:
Wills
l Reviewthewilltoseeifthereareany instructions regarding funeral arrangements. You may wish to have yourlawyerpresent.Reviewanyotherimportantpapersfiledathome.Somepersonal possessions may not be mentionedintheWill.Takeyourtimeindecidingwhattokeepandwhattogiveto family or close friends.
l Ifthereisnowill,thisiscalledintestate.The estate will be distributed according to the law. You may wish to have your lawyer guide you through this process.
l AccordingtotheIntestateSuccessionAct, if there is no will the estate goes to thedeceased’slegallymarriedspouse,adult interdependent partner and other relatives in order of their blood relation. Ifthereisnowillandtherearenoknownrelatives,thePublicTrusteemayadminister the estate.
Death Certificate
l CertifiedcopiesoftheCertificateofDeathcanbeobtainedfromyourlocalRegistryOffice.Youmayneedseveralcopies in order to finalize a variety of matters, such as pensions, investments, real estate or life insurance.
Financial Affairs and Documentation
l Organize and update your financial affairs and official documents.
l Determineallofyourassetsandliabilities.
l Contacttheemployerofthedeceased,inregards to outstanding salary, employer or union insurance plans/benefits or othermatters.Allpastandpresentincomesourcesshouldbecheckedtoseeifthereareanysurvivor’sbenefits.
l Contactinsurers:home,car,life,other.l Contactfinancialinstitutions.l Checkformortgageinsuranceand
arrange to change mortgage documents.
l Obtain title documents for property, mortgages, bonds, debentures and any other investment certificates.
14
l Ifajointbankaccountexists,thespouse has access to the funds without interruption. You will need to change the accountintothesurvivor’snameonly,orsetupanewaccount.Ifthedeceasedhadaseparatebankaccountinhisorhernameonly,thebankfreezesthefundsand they become part of the estate.
l Cancelcreditcardsandbankingcards that are in the name of the deceased person.
Taxes
l Obtainprioryear’staxreturnsandfileany T1 returns for previous years. This shouldbedonewithinsixmonthsofthedate of death.
Other Government Offices
l Ifthedeceasedwasreceivingbenefitsfromanygovernmentagency(e.g.,OldAgeSecurity,militarypension),contact the appropriate agency and stop thebenefitpayments.Checktoseeifsurvivor’sbenefitsareavailable.
l Theexecutorshouldcontactthenecessary government offices to cancel documentation such as:
—Canadianpassportorcitizenshipcard
— Socialinsurancenumber
— Foreignpassport(ifapplicable)
— Firearms Licence
—AlbertaHealthCareInsurancePlancard
—Albertadriver’slicence
— Anyotherspeciallicenses,memberships or registrations
RefertotheHelpfulContactssectionofthisguide for a listing of government offices and websites.Notethatboththeprovincialandfederal governments have “one-window” serviceagencies(ServiceAlbertaandServiceCanada)whichwillhelpdirectyoutoothergovernment programs or services.
Additional Practical Matters (add other matters to this checklist)
l __________________________________
__________________________________
l __________________________________
__________________________________
l __________________________________
__________________________________
l __________________________________
__________________________________
For families
15
Alberta Government ContactsFromwithinAlberta,youcanmakefreelongdistance calls to government departments bycallingtheGovernmentofAlbertaRITEOperatorat310-0000.Providetheoperatorwith the number of the office or department thatyouarecalling.Insomecases,theAlbertagovernmentcontactslistedwillalsohaveatoll-free1-800number.
Service AlbertaThe provincial government has a “one-window”serviceagencycalledServiceAlberta,whichyoumaywishtocontactfirst, in order to find other government departments or services.
ContactthePrograms& ServicesCallCentre:
www.services.gov.ab.ca
Tel:310-0000(toll-free anywhereinAlberta)
Submite-mailinquiriesfromthe website.
Life Events
OntheServiceAlbertawebsite,thereisahelpfulsectioncalled“LifeEvents.”Thissection was created to help citizens cope with major life events by offering clear information about certain topics, as well as resources and contacts within government or in the community. There is a helpful section on dealing with practical matters after a death.
Registry ServicesFor a listing of registry offices in your area, consult your telephone directory or visit theregistrypagesontheAlbertaServicewebsite.
www.servicealberta.gov.ab.ca/Registries.cfm
For more information about registry services, gotothefrequentlyaskedquestionssectiononthissite,orcallAlbertaRegistries.
780-427-7013
Workplace Health and SafetyAlbertaEmploymentandImmigration(EI)istheAlbertagovernmentdepartmentwhichoverseesworkplacehealthandsafetylegislationinAlberta.ThemainEIwebsiteisat:
http://employment.alberta.ca
ToconnectmoredirectlytotheWorkplaceHealthandSafety(WHS)division,gotothemainwebsiteandnavigatetotheworkplacehealthandsafetypages.Hereisadirectlink:
http://employment.alberta.ca/cps/rde/xchg/hre/hs.xsl/53.html
HelpfulContacts
16
Workplace Health and Safety Contact CentreTheWHSdivisionmaintainsacontactcentreforallWHS-relatedinquiries,andforincident reporting and compliance issues.
1-866-415-8690(toll-freewithinAlberta)
415-8690(Edmontonand surroundingarea)
TDD/TTY:427-9999inEdmonton,1-800-232-7215throughoutAlberta
AlbertaJusticeAlbertaJusticeistheprovincialdepartmentyou may deal with in regards to court proceedings.
www.justice.gov.ab.ca
Tel: 780-427-2745(AlbertaJusticeInformationLine)
Criminal Justice Division
Iftherearecourtproceedings,youwillhavesomecontactswiththeCrownProsecutor’soffice.
Tel:780-427-5042
ForinformationabouttheCrownProsecutor’srolesandresponsibilities,visitthefollowingpagesattheAlbertaJusticewebsite:
http://www.justice.gov.ab.ca/criminal_pros/Prosecutors_Roles.aspx
OfficeoftheChiefMedicalExaminer www.justice.gov.ab.ca/ocme
Tel:780-427-4987(Edmontonoffice)
Tel:403-297-8123(Calgaryoffice)
Workers’ Compensation Board – Alberta (WCB – Alberta)RefertotheWCBwebsiteforinformationonpolicies, services, benefits, a variety of fact sheets and other information.
www.wcb.ab.ca
1-866-922-9221
Edmonton offices:
9912–107Street 780-498-3999
Calgary offices:
300-6AvenueSE 403-517-6000
Dispute Resolution and Decision Review Body
780-498-4480 1-866-922-9221
Office of the Appeals Advisor
1-866-922-9221 [email protected]
Edmonton office:
FinancialBuilding 5thFloor,10621–100Avenue 780-498-8640
Calgary office:
BraithwaiteBoyleCentre 602-1701CentreStreetNorth 403-517-6220
For families
17
Appeals CommissionTheAppealsCommissionisanadministrative tribunal established under the Workers’ Compensation Act.Itisthefinallevelofappealforworkers’compensationmattersinAlberta.
www.appealscommission.ab.ca
Edmonton office:
EnergySquareBuilding 901-10109-106Street 780-412-8700
Calgary office:
BraithwaiteBoyleCentre 602-1701CentreStreetNorth 403-517-6220
Federal Government Contacts
Occupational Health and SafetyForinformationaboutworkplacefatalityinvestigations involving federally-regulated employers,contactHRSDC.
www.hrsdc.gc.ca
1-800-641-4049
Service CanadaThis service is a “one-window” service point which gives you program and contact information for all federal government programs and services.
www.servicecanada.gc.ca
1-800-622-6232
TTY:1-800-926-9105
Life Events
ServiceCanada’swebsiteincludesa“LifeEvents”section,withhelpfulinformationundertheheadingof“PersonalLoss.”Visitthe following webpage:
www.servicecanada.gc.ca/en/lifeevents
SocialInsuranceNumber www.servicecanada.gc.ca
1-800-206-7218
Thenext-of-kinshouldreturntheSINcardalong with a copy of the death certificate or aStatementofDeathtoServiceCanada.IfyoudonothavetheSINcardbutdoknowthenumber,sendtheStatementofDeathwiththeSINclearlywrittenonit.Thesedocuments should be sent by registered mail to:
SocialInsuranceRegistration P.O.Box7000 Bathurst,NewBrunswick E2A4T1 Canada
CanadaPensionPlan(CPP)Asnotedonpage___,itisimportanttoapplyforCPPbenefits,sothatyoureceive any benefits that you are entitled to,includingthesurvivor’sbenefits.TalktoaCPPrepresentativeifyouhaveanyquestions.
1-800-277-9914
TTY:1-800-255-4786
ForcompleteinformationabouttheCPP,visittheHumanResourcesandSocialDevelopmentCanadawebsite.
www.hrsdc.gc.ca
1-800-277-9914
TTY:1-800-255-4786
18
Old Age Security (OAS)Ifyouare60-64yearsofage,havelowincome, and your spouse or common-law partner has died, you may be eligible for the “AllowancefortheSurvivor.”
1-800-277-9914
TTY:1-800-255-4786
Canada Revenue Agency (CRA)Anincometaxreturnwillhavetobefiledforthedeceased.TheCRAwebsiteprovidesinformation about howtonotifytheCRAofa death.
www.cra.gc.ca
1-800-959-8281
PassportCanada www.ppt.gc.ca
1-800-567-6868
TTY:1-866-255-7655
Adeceasedperson’spassportshouldbereturnedbyregisteredmailtoPassportCanadaforcancellation.Includeacopyofthe death certificate and a letter indicating if the cancelled passport should be destroyed or returned to you.
By mail: PassportCanada ForeignAffairsand InternationalTradeCanada Gatineau,QC K1A0G3 Canada
By courier: PassportCanada 22deVarennesBuilding 22deVarennesStreet Gatineau,QC J8T8R1 Canada
Cancelling a Foreign Passport
Ifthedeceasedhaddualcitizenshiporwasalandedimmigrant(permanentresidentofCanada),thefamilyshouldalsocontacttheconsulate office for the second country or the country of birth.
TheDepartmentofForeignAffairsandInternationalTradehasaneasy-to-usewebsite that provides the addresses and phone numbers for all of the foreign consulates in Canada.
www.dfait-maeci.gc.ca
1-800-267-8376
TTY:613-944-9136(TTY)
ImmigrationRecordofLandingFor information on citizenship and immigration programs and services, includingthePermanentResidentCardprogram.
www.cic.gc.ca
1-888-242-2100
IndianandNorthernAffairsCanadaIfthedeceasedwasanaboriginalCanadianwithanIndianStatusCard,notifytheIndianRegistrySystem.TheIndianRegistrySystemrecordslifeevents(e.g.,death,birth,death,marriage,adoption)intheIndianRegistry.
www.ainc-inac.gc.ca or http://www.ainc-inac.gc.ca/gol-ged/irs-cis_e.html
1-800-567-9604(PublicEnquiriesContactCentre)
TTY:1-866-553-0554
For families
19
Getting Legal Assistance
Law Society of Alberta Referral ServiceThis service will give the names and telephone numbers of three lawyers practicing in the applicable field of law, suchasworkplacehealthandsafety,injurylaworworkers’compensationmatters.
Youcantalkonthephoneorinpersonwithone, two, or all three of those lawyers. Your first30minuteswitheachlawyerisfree-of-charge. To get this free service you must first advise each lawyer that you were referred tothembytheReferralService.Thisservicecan help you decide whether to engage a lawyer, which lawyer to engage and discuss legal costs beyond the initial consultation.
TheReferralServiceisnotconnectedwithLegalAid,nordoesitprovideanyformoffinancially subsidized legal service.
www.lawsocietyalberta.com
1-800-661-1095(outsideCalgary,Albertaonly)
403-228-1722inCalgary
Legal Aid AlbertaLegalAidisavailabletolow-incomeindividuals for a variety of legal matters. You may be eligible for legal aid assistance. LegalAidAlbertaprovideslawyersatan affordable cost for people who need assistance for certain criminal or civil mattersanddon’thavetheresourcestohirea lawyer.
www.legalaid.ab.ca
780-427-7575
LegalAidhasofficesinmanylocationsthroughoutAlberta.VisittheLegalAidwebsite for a complete listing.
Alberta Law LineThisserviceisrunbyLegalAidAlberta.AsaprogramofLegalAid,theAlbertaLawLineprovides free legal information and referrals toallAlbertans.CalltheAlbertaLineifyouareunsurewhetheryourmatterrequiresa lawyer. The Law Line does not replace the advice of a lawyer, but it can help you inform yourself as much as possible before you hire a lawyer.
1-866-845-3425
780-644-7777inEdmonton
20
This section of the guide is provided because many families have told us that dealing with distress, grief and bereavement is very difficultafterthepassingofalovedone.Wekindly,yetstrongly,encourageyoutogetcounselling assistance.
Your counsellor will help you through the initial phases of grief and the long recoveryprocess.Ifyouhavechildren,seekoutsimilarcounsellingandsupportservicesforthem.Childrenwillbegoingthrough their own phases of distress, grief and bereavement.
Ifyouaresimplyfeelingalone,orhaveanyotherissuesinmindthatyouwouldliketotalkabout,donotbeafraidtocalladistressline or support organization in your area.
Pleaseconsidercontactinganyoftheresources or organizations listed in the followingpages.Eachofthesecontactsmay also be able to direct you to additional resources.
Support Organizations
Threads of Life – Association for Workplace Tragedy Family SupportThreads of Life is a charitable, not-for-profit organization dedicated to supporting families who have been affected byaworkplacetragedy.IthelpsthesefamiliesworktogethertoprotectfuturegenerationsofCanadianworkersbyraisingawareness of injury prevention through itsvolunteerspeakersbureauandannualStepsforLifewalk.Threads of Life provides families with one-on-one peer support withtrainedVolunteerFamilyGuideswhohavealsoexperiencedaworkplacetragedy. This peer support service is the onlyoneofitskindworldwide.ThreadsofLife also provides assistance and referral to professional support services, and promotes public awareness and accountability for workplacehealthandsafety.
www.threadsoflife.ca
1-888-567-9490
Distress,GriefandBereavement
For families
21
The Support NetworkIntheEdmontonarea,themaindistresslineserviceisoperatedbyTheSupportNetwork.
www.thesupportnetwork.com
TheDistressLine—482-HELP(4357)
Open24hoursaday,7daysaweek
This is a confidential, non-judgmental listeningservice.Itprovidessupportandreferralsforpeopleexperiencingdifficultyintheir lives.
Youth One
Youth One is a service for youth, associated withTheSupportNetwork.Itoffersgeneralsupport services and peer support services foryouthwhoareexperiencingadifficultorcrisis situation.
780-482-0198
CalgaryDistressCentre 266-1605MainCrisis&AddictionsLine
264-TEEN(8336)TeenLine
Open24hoursaday,7daysaweek
The centre offers a main crisis and addictions line, as well as four specialty phone lines providing crisis intervention and referral services.
2-1-1 Service in AlbertaSomeareashavea2-1-1service,whichwill provide you with contacts to a wide range of social services, including distress lines, counselling, bereavement groups or other types of support organizations. On a national level, the trends towards developing 2-1-1servicesacrossCanadahasbeenaiming to provide citizens with easy access to a full range of community, social and government services information, whether by telephone or online database.
Checkyourtelephonedirectoryorlocalorganizationstoseeifa2-1-1serviceisavailable in your region.
InCalgaryandEdmonton,certifiedinformation and referral specialists answer 2-1-1calls24hoursaday,sevendaysaweek.
www.211calgary.ca
www.211edmonton.info
KidsHelpPhoneOffers phone and web counselling in French andEnglishtochildrenandteenagers,aged4-19.Willhelpadultsaged20andoverfindthecounsellingservicetheyneed.Parents,teachers and any other concerned adults are welcome to call for information and referral services.
www.kidshelpphone.ca
1-800-668-6868 (24hours/day,year-round)
22
Psychologists’AssociationofAlbertaProvidesafreeservicetohelpyoulocatequalifiedpsychologistsinyourcommunity,to meet your particular needs or situation, orthoseofyourfamilymembers.Searchonline at the association website, or use the telephone referral service.
www.psychologistsassociation.ab.ca
428-Talk(8255)(Edmonton)
246-Talk(8255)(Calgary)
1-888-424-0297(Alberta-wide)
Online ResourcesHerearejustafewexamplesofonlineservicesthatwehavefound.Conductyourown search online for useful websites, onlineresources,books,supportgroupsorotherkindsoforganizations.Ifyouarenotfamiliar with online searches, enlist the help of friends or family members.
GriefNet.orgThisisanInternetcommunityofpeopledealing with grief, death and major loss with thehelpofe-mailsupportgroups.Includesanextensivelibraryandbookstore.
www.griefnet.org
Compassionate Friends of CanadaThis is an international self-help organization offering friendship, understanding and grief education to all familieswhohaveexperiencedthedeathofa child at any age.
www.tcfcanada.net
TheDougyCentreThis web site provides children, teens and parentswithexcellentgriefsupport.
www.dougy.org
Suggested ReadingWehavecarefullychosenaselectionofbooksthatmayhelp.Youmayfindsomeofthematyourlocallibrary.Wesuggestyoualsoaskchurchofficials,friendsandfamilyfor their recommended reading. You may also wish to do an online search about grief-relatedtopicsandarticles,ortofindbooktitles online.
For Adults:
Now What
Dr.BillWebster.Dr.Websterwritesfrompersonalandprofessionalexperienceaboutthe emotions and reactions that are part of grieving.
A Time to Grieve: Meditations for Healing after the Death of a Loved One
CarolStaudacher.Aself-helpguidethroughgrieving the loss of a loved one.
Beginnings
BettyJaneWylie.Comfortandadviceforwidowsofallages.Reliable,relevantand useful.
Life’s Losses: Living through Grief, Bereavement & Sudden Change
BettyJaneWylie
Everywoman’s Money Book
BettyJaneWylieandLynneMacFarlane
For families
23
I Wasn’t Ready to Say Goodbye: Surviving, Coping and Healing after the Sudden Death of a Loved One
BrookNoelandPamelaD.Blair.Anexcellentguidetogriefaftersuddendeath.
When Bad Things Happen to Good People
HaroldKushner.Facinghisson’sillnessandsubsequentdeath,RabbiKushnershareshisthoughts and feelings about why we humans suffer.Exploresthequestionsoflifeandfaiththat can occur after a tragedy.
Grief in Children: A Handbook for Adults
A.Dyregrov.Ahandbookforthosefacedwiththetaskofunderstandingchildrendealing with grief and trying to help them.
When Men Grieve: Why Men Grieve Differently and How You Can Help
ElizabethLevang.PsychologistElizabethLevangexplainsthespecialwaysthatmengrieve so those who love them can better understandwhatthey’regoingthrough.
For Children:
After the Funeral
J.Winsch.Offershelpforchildrenandfamilies to move forward after a loss.
How It Feels When a Parent Dies
JillKrementz.Childrenaged7to16talkopenlyabouttheirexperienceshavingaparent die.
For Teens:
How to Go on Living When Someone You Love Dies
TheresaRando.Ahelpfulandinformativebookaddressinggriefandhowtoworkwithit.
Teenagers Face to Face with Bereavement
K.GravelleandC.Haskins.Teenstalkabouttheir strong emotions of sadness, anger and guilt after the death of a parent, sibling or friend.Honestandinsightful.
24
Grievingrequiresalotofphysicalandmentalenergy.Sowhenyoufeeltired,restimmediately.Allowyourselftogotobedearlyandgetuplate.Eatingwellwillhelpyourhealingprocess.Youneedtokeepeating healthy meals at regular intervals. This will help you to lead a healthy life in spite of your pain.
Grievingalsomakesitdifficulttoconcentrate.Makelistsofthingsthatyouhavetodo.Avoidmakingmajordecisionsforawhile.Ifyoudohavetodealwithastressfulsituation,askforhelp.Thosefriendswhosaid,“pleaseletmeknowwhatIcando” really meant it.
Remembertoo,thatthereisdangerinattempting to numb the pain. There is a big differencebetweenseekingcomfortfromafriendandseekingcomfortfromartificialsubstances such as alcohol, drugs, too much coffeeorexcessivesmoking.
Ithelpstoremembersituationsthatyouhavesuccessfully overcome in the past.
Developapersonalfirstaidkitwithactivitiesthatprovidecomfort.Youknowbestwhatworksforyou,suchasexercise,diarizingortalkingtosupportivefriends.Herearesomeothersuggestions:
• Workintheyardorgarden
• Findawalkingroutethatbringsyoucomfort, such as a forested area or walkingtrail
• Havedinnerwithfriendsorrelatives
• Taketimetomeditateorpray
• Takeawarmbathwithsoothingoils
• Writedownyourthoughts,asoftenasyou can
• Listentoarelaxationtape
• Playwithachildorpet
• Cookafavouritemeal
Ifyoufindyourselfunabletosleepat2:00a.m.,writeyourlovedonealetter.Tellthemhowmuchyou’remissingthemandwhattheymeanttoyou.Describethepainyou feel.
Downtheroad,writetothemaboutthelegacythey’veleftyou,thewaystheyexpandedwhoyouare,thedepththeycontributed to your vision, the richness to your hearing, the gentleness to your speakingandthewarmthtoyourtouching.Keepajournal.Ithelps.
ConsidertalkingtoThreadsofLiferepresentatives.Theyareexperiencedin family matters, dealing with loss and supporting “survivors” and their families in any way possible. Try your best to share your feelingswithothers.Itwilltakecourageandtime to deal with all the feelings and issues you may be going through, but we hope this booklethelpsyoucope.
ClosingThoughts
For families
25
MyContactsUsethissectiontokeeptrackofpeopleandorganizationsyouaredealingwithinthefirstyearofyourlossandbeyond.Wekindlysuggestyoukeeptrackofnames,organizations, phone numbers, e-mail addresses and other contact information.
Maywealsosuggestthatyoukeepthisbooklet— along with other important documents -inasafeandquietplace,thatyoucanaccessreadily.Forexample,setupadeskorpersonalareainyourresidencethatyoucanusetohelpyoukeepallofyourinformationinoneplace,includingyourdiary,financialdocuments,WCBforms,governmentagencydocuments, receipts and other documentation.
Name/Organization ___________________________________________________________________________________________
Tel._______________________________ Cell: _______________________________ Fax: __________________________________
E-mail: ___________________________________________Web: _______________________________________________________
Name/Organization ___________________________________________________________________________________________
Tel._______________________________ Cell: _______________________________ Fax: __________________________________
E-mail: ___________________________________________Web: _______________________________________________________
Name/Organization ___________________________________________________________________________________________
Tel._______________________________ Cell: _______________________________ Fax: __________________________________
E-mail: ___________________________________________Web: _______________________________________________________
Name/Organization ___________________________________________________________________________________________
Tel._______________________________ Cell: _______________________________ Fax: __________________________________
E-mail: ___________________________________________Web: _______________________________________________________
26
MyNotes_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
MyNotes_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
28
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
For families
29
A kind word:
PleaseensureyouhaveasupportivefriendorfamilymemberwithyouwhenyouwatchthisDVDforthefirsttimeandatsubsequentviewingsifyoufeeltheneed.Similarly,besurethatany children watching the video are in the company of an adult.
