Approved form AF2002-181

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 56
(see r 57 (13))
Request for transmission of amount of weekly payments by worker residing out of Australia
[Heading as in award or memorandum.]
I enclose medical certificate and declaration of identity, and request that the amount of the weekly payments due to me in this matter may be transmitted to me at 
[give full address]
[state how transmission to be made]
by post office order payable at 
[name of post office]
or by bankers’ draft on the
[name and address of bank].
A.B.
[to be signed by the worker in his or her own handwriting.]
To the Registrar of the Magistrates Court, Canberra.

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