Revised Laws of Saint Lucia (2021)

Schedule 4

(Section 247)

NOTICE OF OCCUPATIONAL DISEASE

1.     Name of employer    
2.     Workplace and address of workplace    
         
         
3.     Nature of business    
         
         
         
4.     Nature of occupational disease    
         
         
5.     Injured person's—
     (a)     Surname    
     (b)     Other names    
     (c)     Address    
     (d)     Sex    
     (e)     Age at last birthday    
     (f)     Precise occupation    
Date:    
    
Signature of Employer