Approved form AF2002-145

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 20
(see r 32)

Workers Compensation Act 1951
Certificate of Award
Title and date of commence-ment	Form or nature of proceedings	Name and address of person in whose favour award or order has been entered up or made	Name and address of debtor	Date of 
award or 
order	Abstract of award or order	
						
I certify that this certificate correctly and fully sets forth the particulars of an award or order of the Magistrates Court, Canberra, entered up or made on 					.
Dated:							
Registrar of the Magistrates Court.

Endnotes
1	This form was originally in the Workers Compensation Rules 1938, schedule 1.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the rules and became a form approved under the rules, rule 89 (see amdt 1.2805, amdt 1.2807).
2	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2002