Approved form AF2002-191

made under the
Workers Compensation Rules 1938

Workers Compensation Rules 1938— Form 66
(see r 76)

Notice of refusal to summon medical referee as assessor
[Heading as in request for arbitration.]
I give you notice that the Court has directed me to inform you that your application for a medical referee to be summoned to sit with the Court as an assessor is refused, the Court being of opinion that the summoning of a medical referee is unnecessary.
Dated:
Registrar of the Magistrates Court.
To [the applicant for an assessor].

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