![]() |
Code of Federal Regulations (Last Updated: July 5, 2024) |
![]() |
Title 20 - Employees' Benefits |
![]() |
Chapter VI - Office of Workers' Compensation Programs, Department of Labor |
![]() |
SubChapter A - Longshoremen'S and Harbor Workers' Compensation Act and Related Statutes |
![]() |
Part 702 - Administration and Procedure |
![]() |
Subpart B - Claims Procedures |
![]() |
Notice |
§ 702.214 - Notice; form and content.
Latest version.
-
§ 702.214 Notice; form and content.
Notice shall be in writing on a form prescribed by the Director for this purpose; such form shall be made available to the employee or beneficiary by the employer. The notice shall be signed by the person authorized to give notice, and shall contain the name, address and Social Security Number (SSN) of the employee and, in death cases, also the SSN of the person seeking survivor benefits, and a statement of the time, place, nature and cause of the injury or death.
[58 FR 68032, Dec. 23, 1993]