The notice referred to in Section 25-5-78 may be served personally upon the employer or upon any agent of the employer upon whom a summons may be served in civil actions or by sending it by registered or certified mail to the employer at his last known residence or business place within the state and shall be substantially in the following form:
"Notice - You are hereby notified that an injury was received by _____ who was in your employ at _____ while engaged as _____, under the superintendency of _____, on or about the _____ day of _____, 2 __, at about __ o'clock, __ m., and who is now located at _____ (give town, street and number), that so far as now known, the nature of the injury was _____ and that compensation may be claimed therefor. Signed _____ (giving address) _____ dated _____, 2__"
No variation from this form shall be material if the notice is sufficient to advise the employer that a certain employee, by name, received a specified injury in the course of his employment on or about a specified time, at or near a certain place specified.
Structure Code of Alabama
Title 25 - Industrial Relations and Labor.
Chapter 5 - Workers' Compensation.
Article 3 - Elective Compensation Under Contract of Employment.
Section 25-5-51 - Right to Compensation for Injuries or Death; Grounds for Denial of Compensation.
Section 25-5-52 - Manner of Compensation, etc., Provided by Chapter Exclusive.
Section 25-5-54 - Presumptions as to Applicability and Acceptance of Provisions of Articles.
Section 25-5-56 - Settlements Between Parties.
Section 25-5-57 - Compensation for Disability.
Section 25-5-58 - Effect of Preexisting Injuries or Infirmities.
Section 25-5-59 - Waiting Period for Compensation; Penalty for Overdue Compensation Payments.
Section 25-5-60 - Compensation for Death.
Section 25-5-61 - Persons Presumed Wholly Dependent.
Section 25-5-63 - Total Dependents - Maximum Compensation.
Section 25-5-62 - Total Dependents - Designated; Order of Compensation.
Section 25-5-64 - Partial Dependents.
Section 25-5-65 - Compensation of Orphans or Other Children.
Section 25-5-67 - Burial Expenses.
Section 25-5-68 - Maximum and Minimum Weekly Compensation.
Section 25-5-76 - Liability of Joint Employers.
Section 25-5-78 - Written Notice to Employer of Accident - Required.
Section 25-5-79 - Written Notice to Employer of Accident - Service and Contents.
Section 25-5-80 - Limitation Period for Claims or Actions for Compensation.
Section 25-5-81 - Determination of Disputed Compensation Claims Generally.
Section 25-5-82 - Compensation for Death to Be Paid Only to United States Residents.
Section 25-5-83 - Commutation of Compensation to Lump Sum Payments.
Section 25-5-84 - Modification of Payments.
Section 25-5-85 - Procedure for and Effect of Payment of Compensation to Court Appointed Trustee.
Section 25-5-87 - Preference of Right to Compensation, Etc.
Section 25-5-91 - Forwarding of Copy of Judgment, etc., to Probate Court; Creation of Judgment Lien.
Section 25-5-92 - Discharge of Lien Upon Judgment Payable Periodically.