Workers Compensation Rules 1938—Form 2—Application for arbitration by or on behalf of dependants of deceased worker, in relation to the compensation payable in relation to the injury to such dependants, where death has resulted from an injury to the worker, and the settlement of questions as to who are dependants, and the apportionment and application of such compensation

Made under
Workers Compensation Rules 1938, r 89


  1. This form lapsed on the repeal of the Workers Compensation Rules 1938. However, the form generally continues to apply in relation to proceedings for injuries that happened before 1 July 2002 (see Workers Compensation Act 1951 s 234, s 235). For approved forms applying to other injuries, see the Workers Compensation Act 1951.

Repeal version

Effective Files/Formats Version Published
12 September 2001 - 1 July 2002 PDFPDFWord R1 19 August 2002