5 USC 914(d)

5 USC 914(d).doc

Notice of Controversion of Right to Compensation

5 USC 914(d)

OMB: 1240-0042

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(d) Right to compensation controverted. If the employer controverts the right to compensation he shall file with the deputy commissioner on or before the fourteenth day after he has knowledge of the alleged injury or death, a notice, in accordance with a form prescribed by the commission, stating that the right to compensation is controverted, the name of the claimant, the name of the employer, the date of the alleged injury or death, and the grounds upon which the right to compensation is controverted.


File Typeapplication/msword
File Title(d) Right to compensation controverted
AuthorU.S. Department of Labor
Last Modified ByU.S. Department of Labor
File Modified2008-05-20
File Created2008-05-20

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