{"data":{"id":"us/20-cfr-702.202","jurisdiction":"us","citation":"20 CFR 702.202","heading":"Employer's report; form and contents.","body":"The employer's report of an employee's injury or death shall be in writing and on a form prescribed by the Director for this purpose, and shall contain:\n(a) The name, address and business of the employer;\n(b) The name, address, occupation and Social Security Number (SSN) of the employee;\n(c) The cause, nature, and other relevant circumstances of the injury or death;\n(d) The year, month, day, and hour when, and the particular locality where, the injury or death occurred;\n(e) Such other information as the Director may require.","path":["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"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-20.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:24:45Z","sha256":"3a78c0e05f546050abc46a52649259dcf6401ccdeb25d7b397bbc657384fd61c","source_id":"us-cfr","stale":true,"prev":"us/20-cfr-702.201","next":"us/20-cfr-702.203"},"notice":"GroundRules: Original legal text. Not legal advice."}