WORKER’S COMPENSATION AND RELATED LAWS — INDUSTRIAL COMMISSION
72-702. Form of notice and claim. Such notice and such claim shall be in writing; the notice shall contain the name and address of the employee, and shall state in ordinary language the time, place, nature and cause of the injury or disease and shall be signed by him or by a person on his behalf, or, in the event of his death, by any one or more of his dependents, or by a person on their behalf. The notice may include the claim.
[72-702, added I.C., sec. 72-702, as added by 1971, ch. 124, sec. 3, p. 422.]