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- Title 5. Government Organization and Employees
- Part III. Employees
- Subpart G. Insurance and Annuities
- Chapter 81. Compensation For Work Injuries
- Subchapter I. Generally
5 U.S.C. § 8119 Notice of Injury Or Death
Library | United States Statutes |
Edition | 2023 |
Currency | Current through P.L. 118-21 (published on www.congress.gov on 11/13/2023) |
An employee injured in the performance of his duty, or someone on his behalf, shall give notice thereof. Notice of a death believed to be related to the employment shall be given by an eligible beneficiary specified in section 8133 of this title, or someone on his behalf. A notice of injury or death shall-
(a) be given within 30 days after the injury or death;
(b) be given to the immediate superior of the employee by personal delivery or by depositing it in the mail properly stamped and addressed;
(c) be in writing;
(d) state the name and address of the employee;
(e) state the year, month, day, and hour when and the particular locality where the injury or death occurred;
(f) state the cause and nature of the injury, or, in the case of death, the employment factors believed to be the cause; and
(g) be signed by and contain the address of the individual giving the notice.
<TABLE> <TR><TD colspan="3">HISTORICAL AND REVISION NOTES</TD> </TR> <TR> <TD>Derivation</TD> <TD>U.S. Code</TD> <TD>Revised Statutes and <para>Statutes at Large</para> </TD> </TR> <TR> <TD>(a)</TD> <TD> <codecitation statecd="US" datatype="S" title="5">5 U.S.C. <codesec>765</codesec></codecitation>.</TD> <TD>Sept. 7, 1916, ch. 458, §15, 39 Stat. 746.</TD> </TR> <TR> <TD> </TD> <TD> <codecitation statecd="US" datatype="S" title="5">5 U.S.C. <codesec>766</codesec></codecitation>.</TD> <TD>Sept. 7, 1916, ch. 458, §16, 39 Stat. 746.</TD> </TR> <TR> <TD>(b)</TD> <TD> <codecitation statecd="US" datatype="S" title="5">5 U.S.C. <codesec>767</codesec></codecitation>.</TD> <TD>Sept. 7, 1916, ch. 458, §17, 39 Stat. 746.</TD> </TR> </TABLE>
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