【法规名称】
【法规编号】 79973 什么是编号？
【正 文】
第5页 CAP 282B EMPLOYEES' COMPENSATION (RULES OF COURT) RULES
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[接上页] .............................................................................................................................. (3) Date and place of accident, nature of work on which the applicant was then engaged and nature of accident and cause of injury ................................................................ .............................................................................................................................. (4) Nature of injury ..................................................................................................... .............................................................................................................................. (5) Particulars of incapacity and/or of attention ............................................................. .............................................................................................................................. (6) Monthly earnings of the applicant from employment with the respondent- (a) for the month immediately preceding the accident ............................................. (b) on average during the 12 months (or any lesser period of employment with the employer) prior to the accident ........................................................................ (7) If temporary incapacity pursuant to section 10 of the Ordinance is alleged, monthly earnings (if any) which the applicant is earning or is capable of earning (if known) during the period of temporary incapacity ............................................................... .............................................................................................................................. (8) Amount claimed as compensation ............................................................................ (9) Date of giving notice of accident to respondent ......................................................... (10) If notice not given, reason for omission to give such notice ........................................ The name and address of the applicant or his solicitor are- Of the applicant ............................................................................................................ Of his solicitor ............................................................................................................... The name and address of the respondent(s) to be served with this application are .............. ............................................................................................................................................. Dated this day of 19 . ............................................................ Applicant/Solicitor for the Applicant * Delete as required. (L.N. 227 of 1983; L.N. 383 of 1995; 36 of 1996 s. 32) ___________ FORM 2 [rule 16] EMPLOYEES' COMPENSATION (RULES OF COURT) RULES Application on behalf of Members of the Family in respect of Compensation Payable where death has resulted from injury to the Employee The ........................................................... Court of ............................................................. Case No. .............................................................................................................................. In the matter of an Application between- .............................................................................................................................., applicant, and.........................................................................................................................., respondent. 1. (a) On the ................................ day of ..................... 19......., personal injury causing death by accident arising out of and in the course of employment was caused to ........................................... deceased, an employee employed by the respondent/*1st respondent. (b) *At all material times the 1st respondent was a sub-contractor within the meaning of the Ordinance to a principal contractor within the meaning of the Ordinance namely the 2nd respondent. 2. An application under the Ordinance is hereby made by ............................................. acting on behalf of the members of the family against the respondent(s) for compensation pursuant to the Ordinance. 3. Particulars are as follows- PARTICULARS (1) Date of birth or age of the deceased employee at the date of the accident ................. .............................................................................................................................. (2) Nature of employment of the deceased at the time of the accident ............................ .............................................................................................................................. (3) Date and place of accident, nature of work on which the deceased was then engaged, and nature of accident and cause of injury ................................................................ |
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