CAP. 2821
Employees' Compensation (Rules of Court) Rules
[1983 Ed.
[Subsidiary]
The circumstances in which the application is made are shortly as follows: (3)
The relief or order which the applicant claims is shortly as follows: (4).
The full names and addresses of the applicant and his solicitor are--
Of the applicant
Of his solicitor
The name and address of the respondent to be served with this application are
Dated this day of 19.
Applicant (or his Solicitor)
Note. ----Where the application is made by an employer, and any question of his liability to pay compensation is involved, it must be accompanied by a statement whether he admits his liability to pay compensation or denies such liability, and whether the admission or denial is total or partial, and if he admits or denies liability partially, a statement of the extent to which he admits or denies liability. In the case of a denial of liability, the ground shall be stated.
(1) Name and address of applicant.
(2) Name and address of respondent.
(3) State concisely in numbered paragraphs in chronological order the circumstances in which the application is made.
(4) State concisely the relief or order which the applicant claims.
表格三
僱員賠償(法庭規則)規則
通用申請書
【規則第十六條】
法院
申請賠償案, 第....年第....宗
與此項申請有關之兩方——
(申請人)
B 16
CAP. 2821
Employees' Compensation (Rules of Court) Rules
[1983 Ed.
"
[Subsidiary]
The circumstances in which the application is made are shortly as follows: (3)
The relief or order which the applicant claims is shortly as follows: (4).
The full names and addresses of the applicant and his solicitor are--
Of the applicant
Of his solicitor
The name and address of the respondent to be served with this application are
Dated this
day of
19.
ཝཱ་ཝོ་ས་སས་་་ཙ
Applicant (or his Solicitor)
Note. ----Where the application is made by an employer, and any question of his liability to pay compensation is involved, it must be accompanied by a statement whether he admits his liability to pay compensation or denies such liability, and whether the admission or denial is total or partial, and if he admits or denies liability partially, a statement of the extent to which he admits or denies liability. In the case of a denial of liability, the ground shall be stated.
(1) Name and address of applicant.
(2) Name and address of respondent.
(3) State concisely in numbered paragraphs in chronological order the circumstances in which the application
is made.
(4) State concisely the relief or order which the applicant claims.
表格三
僱員賠償(法庭規則)規則
通用申請書
【規則第十六條〕
法院
申請賠償案,
年第.... 宗
與此項申請有關之兩方——
(申請人)
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