Form MC 9 Notice by respondent admitting liability or paying money into court (dead worker)

Workers Compensation Act 1951
Workers Compensation Rules 2002 (rule 51)
WC no.	
IN THE MAGISTRATES COURT	)           Applicant
	)
OF THE AUSTRALIAN CAPITAL	)           Respondent
	)
TERRITORY	)           Third Party Respondent

Notice by respondent admitting liability or paying money into court (dead worker)
TO:	Registrar 
AND TO:	Applicant (address)
	Claim number
AND TO:	Third Party Respondent(s) (address)
TAKE NOTICE that the respondent admits liability to pay compensation and pays into court the amount of (amount) as sufficient to cover the respondent’s liability on the claim.
or (if liability is denied)
TAKE NOTICE that the respondent does not admit to liability on the claim and pays into court the amount of (amount) as sufficient to cover the liability the respondent would have on the claim if the respondent did not deny liability.
AND take notice that the address of the respondent is (address).

(Delete clauses not applicable)

Notice to dependant applicant and each respondent other than employer:

If you are willing to accept the amount paid into court you must give written notice to the Registrar and each other party.

If you and each other respondent (other than the employer) give notice and agree as to the apportionment and application of the amount, the court will make an award for the apportionment and application.

If you and each other respondent (other than the employer) give notice and do not agree as to the apportionment and application of the amount, the claim may proceed to arbitration.

If you do not give notice or agree as to the apportionment and application of the amount, the court may make an order for costs against you for costs reasonably incurred by the respondent employer after this notice is served on you (see rules 57 and 58).

Dated

___________________________
(solicitor) for respondent