Approved form AF2002-164

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 39
(see r 49)
Notice by the registrar of payment into court under rule 49
(Heading as in præcipe for payment into court.)
TAKE NOTICE, that the sum of			              has been paid into Court as compensation in this matter.
Any person interested in the sum may apply to the Court for an order for the investment and application of the sum for the benefit of the persons entitled in accordance with the Act and the Workers Compensation Rules 1938.
Dated:
To
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