(1) A dependant, or the personal representative, of a deceased worker may ask that a claim be decided by arbitration by filing an application in the court.
Note See approved form 3.58 (Application for arbitration by dependants or personal representative of deceased worker) AF2006-495
.
(2) The application must—
(a) contain details of each dependant on whose behalf the application is made; and
(b) state briefly, but specifically, the claim to be arbitrated; and
(c) be accompanied by a certified copy of—
(i) the worker's death certificate; and
(ii) the birth certificate of each dependant.
(3) In this rule:
"dependant "includes a person claiming to be a dependant.