# 20 CFR § 702.214: Notice; form and content

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-20-702.214

## Section

- **Citation:** 20 CFR § 702.214
- **Heading:** Notice; form and content
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** 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

## Text

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]

## Nearby sections

- [20 CFR § 702.201 § 702.201 Reports from employers of employee's injury or death.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.201.md)
- [20 CFR § 702.202 § 702.202 Employer's report; form and contents.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.202.md)
- [20 CFR § 702.203 § 702.203 Employer's report; how given.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.203.md)
- [20 CFR § 702.204 § 702.204 Employer's report; penalty for failure to furnish and or falsifying.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.204.md)
- [20 CFR § 702.205 § 702.205 Employer's report; effect of failure to report upon time limitations.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.205.md)
- [20 CFR § 702.211 § 702.211 Notice of employee's injury or death; designation of responsible official.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.211.md)
- [20 CFR § 702.212 § 702.212 Notice; when given; when given for certain occupational diseases.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.212.md)
- [20 CFR § 702.213 § 702.213 Notice; by whom given.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.213.md)
- [20 CFR § 702.214 § 702.214 Notice; form and content.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.214.md)
- [20 CFR § 702.215 § 702.215 Notice; how given.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.215.md)
- [20 CFR § 702.216 § 702.216 Effect of failure to give notice.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.216.md)
- [20 CFR § 702.217 § 702.217 Penalty for false statement, misrepresentation.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.217.md)
- [20 CFR § 702.221 § 702.221 Claims for compensation; time limitations.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.221.md)
- [20 CFR § 702.222 § 702.222 Claims; exceptions to time limitations.](https://www.frixlaw.com/law-library/statutes/ecfr-20-702.222.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-20-702.214. Check the current official text before relying on it. Not legal advice.