Approved form AF2002-171

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 46
(see r 53)
Application for order for payment into court of weekly payment payable to person under disability
[Heading as in award or memorandum.]
TAKE NOTICE, that I [name and address of applicant] intend to apply to the Magistrates Court at Canberra on 						        , at 						, for an order that the weekly payment payable in this matter to			       a person under legal disability [or to me] be during his or her [or my] disability paid into Court, and for consequential directions.
Dated:
(Signed)
To the Registrar of the Magistrates Court,				
and [to the 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