Approved form AF2002-163

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 38
(see r 49 (3))

Præcipe for payment into court under the Act, schedule 1, clause 6 and rule 49
In the matter of an arbitration between
A.B.								        of, etc	,					      Applicant.			 and
C.D.,							           Respondent. of, etc,
				          or
[In the matter of an agreement between
A.B.,								         of, etc,		           and
C.D.,								             of, &c.,
				 [or as the case may be.]
TAKE NOTICE, that C.D.		    , of		           [or		 solicitor or agent for C.D.			   , of			  ] pays into Court 		      [when paid by solicitor or agent, add at the request and by the authority of C.D.		           ], the sum of [state the sum in letters]		    , being the sum awarded [or agreed] to be paid by C.D.		  , as compensation in this matter.
Dated:
(Signed)
C.D.,
[or solicitor or agent for C.D.]
To the Registrar of the Magistrates Court.
Note	A receipt for the money paid in with this præcipe is to be given on the usual form used by the Registrar, with the following additions:—‘being the sum awarded [or agreed] to be paid by C.D. in the matter of an arbitration [or an agreement] between A.B. and C.D.’

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