PART 11.
Number of cases involving death and amount of compensation paid in
19 pun
(Note: Compensation paid in respect of previous incapacity
should be included in Part (II)
FORM 44.
Workmen's CompensatioN ORDINANCE
(Chapter 282),
Return to be completed by the Insurer.
Number of cases
Total amount of compensation paid
To the Commissioner of Labour, Hong Koog.
PART 1.
PART III.
Number of cases not involving death and amount of compensation paid
for incapacity.
Permanent
total incapacity
Permanent partial incapacity
Temporary incapacity
Cases coutin-
ued from previous years
Cases in which the first pay- ment of com- pensation was made during 19........
Total
And
CHURC
Kowal annot
|
duncker
CHE SCHMASHA-
dan paid
ulaa pikić.
Name of company
Address
umber
of cases
kerta kon1 al company-
ie padd
Signed
(Secretary or Manager).
Number of cases involving death and amount of compensation paid in 19
(Note: Compensation paid in respect of previous incapacity
should be included in Part (1)
Number of cases
Total amount of compensation paid
PART IL
Number of cases not involving dealb and amount of compensation paid for incapacity.
Cases contin-
ued from previous years
Cases in which the first pay- ment of com- pensation was made during 19.........
Total
Permanent
total incapacity
mumber
( 10:
THAT INDGUNDI
ulan pulat
Permanent Partial Locapacity
number
BONU
of compensu) » tom paid
Temporary incapacity
Butter
CISCH) KOTI-CHILOM.
KÉ KOTRUDICIJA »
flon paid