Australian Capital Territory
Lifetime Care and Support (Catastrophic Injuries) Severe Injury Advice Form Approval 2014
approval statement for
Approved form AF2014–42
made under the  
Lifetime Care and Support (Catastrophic Injuries) Act 2014, s 98 (Approved forms)

1	Name of instrument
This instrument is the Lifetime Care and Support (Catastrophic Injuries) Severe Injury Advice Form Approval 2014.
2	Commencement 
This instrument commences on the day after its notification and applies in respect to applications made on or after 1 July 2014. 
3	Approved form
The attached form is the Approved Form for advising a severe injury under the Lifetime Care and Support (Catastrophic Injuries) Act 2014.

Karen Doran
Lifetime Care and Support Commissioner of the Australian Capital Territory
and delegate of the Director-General
30 June 2014