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Workers Compensation Act 1951 – Approved forms

Current approved forms made under this Act and its subordinate laws

Workers Compensation Act 1951

Form Number	Description	Under	Effective	Year and No
Workers Compensation Act 1951—Form 1	Claim for compensation by incapacitated worker	s 222	12 September 2001	AF2002-88
Workers Compensation Act 1951—Form 1	Medical Certificate for ACT Workers Compensation Claims	s 222	25 May 2004	AF2004-3
Workers Compensation Act 1951—Form 2	Claim for compensation by dependant of worker	s 222	12 September 2001	AF2002-89
Workers Compensation Act 1951—Form 3	Report of medical referee or medical practitioner	s 222	12 September 2001	AF2002-90

Form Number	Description	Under	Effective	Year and No

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