xt7kh12v6014_693 https://exploreuk.uky.edu/dips/xt7kh12v6014/data/mets.xml https://exploreuk.uky.edu/dips/xt7kh12v6014/data/2008ms006.dao.xml Benham Coal Mines. (Benham, Ky.) 151.0 Cubic feet 302 Boxes The Benham Coal Company records (151 cubic feet, 302 Boxes; dated 1911-1973) focus primarily on the early years of Benham Coal through the 1940s, including office files, Employee Benefits Association records, files on accidents and safety, and photographs. archival material English University of Kentucky This digital resource may be freely searched and displayed.  Permission must be received for subsequent distribution in print or electronically.  Physical rights are retained by the owning repository.  Copyright is retained in accordance with U. S. copyright laws.  For information about permissions to reproduce or publish, contact the Special Collections Research Center. Benham Coal Company Records African American coal miners--Kentucky--Harlan County Coal miners--Kentucky--Harlan County Coal mines and mining--Appalachian Region Coal mines and mining--Appalachian Region--History. Coal mines and mining--Kentucky--Benham--History Company towns--Kentucky--Benham Accidents #312, #313 text Accidents #312, #313 2015 https://exploreuk.uky.edu/dips/xt7kh12v6014/data/2008ms006/2008ms006_154/2008ms006_154_6/58101/58101.pdf undated section false xt7kh12v6014_693 xt7kh12v6014   ;:>/ mm
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Frankfort, Ky. Accident No .........., ;._.·,.    
, · Form No. 7.
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EIVIPLOYERS REPORT OF THE INJURY OR DEATH OF AN EIVIPLOYEE.
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Employer, _ _ __ _
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and Time. 11_ l,111:;11}i1111 11l` ;.1l;111U 11*l11’·1‘1· I1l_I11l'_‘1 11;·1*111*1*1·1l. Bonham, Kentucky.
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MAIL ABOVE REPORT TO WORKMEWS COMPENSATION BOARD AT FRANKFORT, KY.
Unless lt appears from the above report that the employee is no longer disabled, then a supplemental report, on
Supplemental Report form below, must be made at the termination of disability or at the end of sixty days, i*f disability
should continue beyond that period.
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EMPLOYER’S REPORT CF THE INJURY OR DEATH OF AN EMPLOYEE.
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2. Natlirc of injury, as naar as possiliie ............................................ . .......... . .... . ............ . _.............._______________.________,__________________________»__,________
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Nature or .1, slum pmIi;i.l>le periml of disability (n1nnl>c1‘ <>l' days eiiililnyeic   ex1.>éclell`ll> be absent from einploymg-n'g_`d;1‘;-
"Jury nig Imm rlliy ol lIl_llll`§`1 ...........................     .   .............. . .......................................................... . ................................................................
,3, II ilijllmrl pgrslin luis iiclgnmod in work, giiie dale and hou; ·.__.__._ . .__..__._.___.._....___.._____.____._______.......__.__.._,______............_.._.._._.__________
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g111u.(,1·11111,1 1(.11m-1, ______>r__ _         H H   ____ _. . .... Wisconsin Sfecf Company (Izzcorporated)
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MAIL ABOVE REPORT TO WOl’-`lKIv‘IEN'S COMPENSATION BOARD AT FFIANKFORT, KY.
Unless it appears from the above report that the employee is no longer disabled, then a supplemental report, on
Supplemental Flepcwt form below, must be made at the termination of disability or at the end of sixty days, if disability
should continue beyond that period.
I. A. li. Ky. Nw. T7-P:n1·t l. 2M7·2-G-18 _ __

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