Iowa Code § 85.24: Form of notice.

1. 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

2. 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.