Approved form AF2002-158

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 33
(see r 44 (2))

Request for information under rule 44 (2)
[Heading as in memorandum.]
With reference to the memorandum of agreement in this matter which has been sent to me for registration, I request you to inform me, by letter or by personal interview at my office situate at			   Canberra, of any facts relating to the agreement and the circumstances in which it was arrived at which you may desire to bring to my notice, and which may assist me in deciding whether the agreement may properly be recorded.
Dated:
Registrar of the Magistrates Court.
To [all parties interested.]

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