Approved form AF2002-156

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 31
(see r 40)
Notice that genuineness of memorandum is disputed, or of objection by employer to memorandum being recorded
[Heading as in memorandum.]
TAKE NOTICE, that			of			             , a party [or parties] interested in the memorandum left with [or sent to] me for registration in this matter, has [or have] filed with me a notice, copy of which is sent herewith, that he or she disputes [or they dispute] the genuineness of the memorandum on the grounds stated in the notice.
[or TAKE NOTICE, that 			of			           [the employer] has [or have] filed with me a notice, copy of which is sent herewith, that he or she objects [or they object] to the memorandum left with [or sent to] me for registration in this matter being recorded on the grounds stated in the notice.]
The memorandum will therefore not be recorded, except with the consent in writing of				, or by order of this Court.
Dated:
To [all parties interested.]
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