Workers’ Compensation and Rehabilitation Regulation 2025
sec.179Particulars of event
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sec.179 Particulars of event
A notice of claim must include the following— the date, time and place of the event; the claimant’s description of the facts of the circumstances surrounding the worker’s injury; the names and addresses of all witnesses to the injury, and their relationship, if any, to the worker; the name and address of any person on behalf of the claimant’s employer to whom the claimant reported the injury and the details of the person’s employment; the full particulars of the negligence alleged against the claimant’s employer and any other party on which the claim is based; if a party other than the claimant’s employer (the other party ) is involved— the liability expressed as a percentage for which the claimant holds the other party responsible; and details of the notice of claim given to the other party.
- (a) the date, time and place of the event;
- (b) the claimant’s description of the facts of the circumstances surrounding the worker’s injury;
- (c) the names and addresses of all witnesses to the injury, and their relationship, if any, to the worker;
- (d) the name and address of any person on behalf of the claimant’s employer to whom the claimant reported the injury and the details of the person’s employment;
- (e) the full particulars of the negligence alleged against the claimant’s employer and any other party on which the claim is based;
- (f) if a party other than the claimant’s employer (the other party ) is involved— (i) the liability expressed as a percentage for which the claimant holds the other party responsible; and (ii) details of the notice of claim given to the other party.
- (i) the liability expressed as a percentage for which the claimant holds the other party responsible; and
- (ii) details of the notice of claim given to the other party.
- (i) the liability expressed as a percentage for which the claimant holds the other party responsible; and
- (ii) details of the notice of claim given to the other party.