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Schedule 2 Notice of appeal

Schedule 2
Notice of appeal
rr 6, 7
In the District Court
 
 
at Wellington
 
 
 
 
No /
 
Under
 
In the matter
of an appeal against either a review decision under section 145 or 146 or a decision as to an award of costs and expenses under section 148
 
By
[full name] of [address] Appellant
Notice of appeal to District Court
Section 151, [Accident Compensation Act 2001]
Take notice that the appellant appeals against a decision made under section [either section 145 or 146 or 148] of the [Accident Compensation Act 2001] on an application for review.
Part 1—Decision appealed against
The review was heard at [location] on [day/month/year] by [reviewer].
[The review decision under section 145 or 146 or the decision as to an award of costs and expenses under section 148] was given by the reviewer on [day/month/year].
The appellant appeals against the following aspects of the decision:
Part 2—Grounds
The appellant bases this appeal on the following grounds:
[for example, That the decision appealed against includes the following mistakes of fact or law:].
Part 3—Relief sought
The appellant seeks the following orders:
[[for example, That the review decision be modified in the following respects: or]
That the review decision be quashed and
(a)
the Corporation's decision endorsed: or
(b)
the Corporation be required to take the following action: or
(c)
another review be conducted in accordance with the following directions: or
That the decision as to an award of costs and expenses be either—
(a)
modified in the following respects: or
(b)
quashed with the following effects:].
A copy of the decision appealed against is attached to this notice of appeal as required by regulation 6(1)(b) of the Injury Prevention, Rehabilitation, and Compensation (Review Costs and Appeals) Regulations 2002.
 
Appellant's signature:
............................................................................
 
 
 
Dated: [day/month/year].
Appellant's address for service:
 
 
Appellant's telephone number:
 
 

History Note - Regulations of New Zealand

Schedule 2 was amended, as from 1 June 2017, by reg 7 Accident Compensation (Review Costs and Appeals) Amendment Regulations 2017 (LI 2017/72) by substituting “Accident Compensation Act 2001” for “Injury Prevention, Rehabilitation, and Compensation Act 2001” in each place where it appears.

Historical Versions - Regulations of New Zealand

Show the historical version (1 April 2002 to 31 May 2017)

Schedule 2
Notice of appeal
rr 6, 7
In the District Court
 
 
at Wellington
 
 
 
 
No /
 
Under
the Injury Prevention, Rehabilitation, and Compensation Act 2001
 
In the matter
of an appeal against either a review decision under section 145 or 146 or a decision as to an award of costs and expenses under section 148
 
By
[full name] of [address] Appellant
Notice of appeal to District Court
Section 151, Injury Prevention, Rehabilitation, and Compensation Act 2001
Take notice that the appellant appeals against a decision made under section [either section 145 or 146 or 148] of the Injury Prevention, Rehabilitation, and Compensation Act 2001 on an application for review.
Part 1—Decision appealed against
The review was heard at [location] on [day/month/year] by [reviewer].
[The review decision under section 145 or 146 or the decision as to an award of costs and expenses under section 148] was given by the reviewer on [day/month/year].
The appellant appeals against the following aspects of the decision:
Part 2—Grounds
The appellant bases this appeal on the following grounds:
[for example, That the decision appealed against includes the following mistakes of fact or law:].
Part 3—Relief sought
The appellant seeks the following orders:
[[for example, That the review decision be modified in the following respects: or]
That the review decision be quashed and
(a)
the Corporation's decision endorsed: or
(b)
the Corporation be required to take the following action: or
(c)
another review be conducted in accordance with the following directions: or
That the decision as to an award of costs and expenses be either—
(a)
modified in the following respects: or
(b)
quashed with the following effects:].
A copy of the decision appealed against is attached to this notice of appeal as required by regulation 6(1)(b) of the Injury Prevention, Rehabilitation, and Compensation (Review Costs and Appeals) Regulations 2002.
 
Appellant's signature:
............................................................................
 
 
 
Dated: [day/month/year].
Appellant's address for service:
 
 
Appellant's telephone number:
 
 
Marie Shroff,
Clerk of the Executive Council.

From OSH Legislation

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