5 U.S.C. § 8119. Notice of injury or death

An employee injured in the performance of his duty, or someone on his behalf, shall give notice thereof. Notice of a death believed to be related to the employment shall be given by an eligible beneficiary specified in section 8133 of this title, or someone on his behalf. A notice of injury or death shall—

1. (a)
   (a)be given within 30 days after the injury or death;
2. (b)
   (b)be given to the immediate superior of the employee by personal delivery or by depositing it in the mail properly stamped and addressed;
3. (c)
   (c)be in writing;
4. (d)
   (d)state the name and address of the employee;
5. (e)
   (e)state the year, month, day, and hour when and the particular locality where the injury or death occurred;
6. (f)
   (f)state the cause and nature of the injury, or, in the case of death, the employment factors believed to be the cause; and
7. (g)
   (g)be signed by and contain the address of the individual giving the notice.