85.24  Form of notice.

No particular form of notice shall be required, but may be substantially as follows:

 

To . . . . . . . . . . . .

You are hereby notified that on or about the . . . . day of . . . . . . (month), . . . (year), personal injury was sustained by . . . . . . , while in your employ at . . . . . . . (Give name and place employed and point where located when injury occurred.) and that compensation will be claimed therefor.

 

        Signed . . . . . . . . . 

No variation from this form of notice shall be material if the notice is sufficient to advise the employer that a certain employee, by name, received an injury in the course of employment on or about a specified time, at or near a certain place.

Section History: Early form

  [S13, § 2477-m8; C24, 27, 31, 35, 39, § 1384; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, § 85.24]

Section History: Recent form

  2000 Acts, ch 1058, §56


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