B 20
CAP. 282]
Employees' Compensation (Rules of Court) Rules
[1983 Ed.
[Subsidiary]
In the matter of an Application between-
and
applicant,
respondent.
It is ordered that (1)
do forthwith pay to (2)
at (3)
heard on the
day of
the sum of $.
..........
said (1)
to the said (2)
the taxed or assessed costs of an application 19........., and being the amount now due from the
in respect of a monthly payment of
day of ......
from the
19......... being the
date of the injury, to the date of order; and do further pay at the same place on
every otherwise ordered, the sum of.
day from the date of this order until
Dated this
day of
(1) Employer's name and address.
(2) Employee's name and address.
(3) Place where payment is to be made.
The
Case No.
19......
Registrar of the Court
FORM 8
EMPLOYEES' Compensation (Rules of Court) Rules
Application for the Revision of a Periodical Payment
In the matter of an Application between-
Court of
[rule 28.]
An application is hereby made by
against
and
revision of the order made by the Court on the
between the said parties on the
19......
applicant,
respondent.
with respect to the .... day of
19........., (or the agreement arrived at
day of
) and for the termination (or suspension, diminution,
or increase, as the case may be) of the monthly payment payable to the said under the said order
(or agreement) in respect of personal injury which arose out of and in the course of his employment.
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