# The Social Security (Claims and Payments) Regulations 1979, Paragraph


(1) Full name, address and occupation of injured person;
(2) Date and time of accident;
(3) Place where accident happened;
(4) Cause and nature of injury;
(5) Name, address and occupation of person giving the notice, if other than the injured person.

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Source: https://www.legislation.gov.uk/uksi/1979/628/schedule/4/paragraph/wrapper3n1 (the official version)
Page: https://openlegislation.uk/social-security-claims-and-payments-regulations-1979/schedule-4/paragraph-wrapper3n1
Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.