1964_EMPLOYEES__COMPENSATION_(RULES_OF_COURT)_RULES — Page 23

The

1983 Ed.]

Employees' Compensation (Rules of Court) Rules

[CAP. 282

B 23

[Subsidiary]

FORM 11

[rule 22.]

The

Case No.

EMPLOYEES' Compensation (Rules of Court) Rules

Notice of Intervention by Sub-Contractor

In the matter of an Application between-

and

Court of

applicant,

*

respondent.

To the Registrar of the Court

and to the (applicant) and the (principal contractor).

Notice is hereby given by (1)

that he intervenes in this application for compensation made by

(2)

is

against (3)

The address for service of the said (4)

Dated this

day of

19......

(9)

(1) Name and address of the sub-contractor.

(2) Name of employer.

(3) Name of principal contractor.

(4) Name of the sub-contractor.

(5) Signature and address of the person giving the notice.

FORM 12

EMPLOYEES' COMPENSATION (Rules of Court) Rules

Application Record Book

Court of

No. of

application

Date application

lodged

Nature of

application

Names and addresses

of parties and of their respective Counsel of Solicitors

Applicant Respondent

Hearing

[rule 7.]

Date application

served

Date answer

received

Date

Order made

Remarks