Australian Capital Territory
Workers Compensation (Imminently fatal asbestos-related disease medical certificate) Approval 2017
approval statement for
Approved form AF2017—156
made under the  
Workers Compensation Act 1951, s222 (Approved forms)

1	Name of instrument
This instrument is the Workers Compensation (Imminently fatal asbestos-related disease medical certificate) Approval 2017.
2	Commencement 
This instrument commences on the day after its notification. 
3	Approval
The attached form is approved.

Rachel Stephen-Smith MLA
Minister for Workplace Safety and Industrial Relations

3 July 2017