20 CFR 702.214

§ 702.214 Notice; form and content.

United States · 20 CFR — Employees' Benefits · Status: effective

Cite this

Citation: 20 CFR 702.214, § 702.214 Notice; form and content, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/81858
Permanent ID: ys:prov:81858@1
SHA-256: bb013710992a3549df63e8fab0b6350b70f56fbe7c22dc8499bc807beffb1521

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Full 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.

Legislative history

This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.