28 Tex. Admin. Code § 122.1 - Notice to Employer of Injury or Occupational Disease
(a) Except as provided in subsection (b) of
this section, an injured employee, or a person acting on that employee's
behalf, shall notify an employer of an injury not later than the 30th day after
the date on which the injury occurs. The notice of injury should include the
following information:
(1) the name, address,
and telephone number (if any) of the injured employee;
(2) the date, time, and place the injury
occurred;
(3) a description of the
circumstances and the nature of the injury;
(4) the names of any witnesses (if
known);
(5) the name and location
of the health provider that has treated the employee for the injury;
and
(6) the name of the person (if
any) acting on behalf of the injured employee.
(b) An employee whose injury results from an
occupational disease, or a person acting on that employee's behalf, must give
notice as required in subsection (a) of this section not later than the 30th
day after the date on which the employee knew or should have known that the
disease may be related to the employment. This notice must be given to the
employer for whom the employee worked on the date of the last injurious
exposure to the hazards of the disease.
(c) Any notice to the employer may be given
to any employee of the employer who holds a supervisory or management
position.
(d) Failure to notify the
employer shall relieve the employer and the employer's insurance carrier from
liability under the Texas Workers' Compensation Act unless:
(1) the employer, or person eligible to
receive notice under subsection (c) of this section, or the insurance carrier,
had actual knowledge of the injury;
(2) good cause exists for failure to give
notice in a timely manner; or
(3)
the employer or insurance carrier does not contest the claim.
Notes
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