New South Wales Consolidated Regulations

WORKERS COMPENSATION REGULATION 2016 - REG 8J

8J Application for approval of agreement--Schedule 3, clause 3(1)

(1) The worker or the employer may apply for the approval by the insurer of a pre-injury average weekly earnings agreement.

(2) The application is to be made within 5 days after the initial notification to the insurer of the injury (within the meaning of Part 3 of Chapter 7 of the 1998 Act).

(3) The application is to be in writing and is to include each of the following--

(a) the agreed amount of pre-injury average weekly earnings,

(b) the date of the agreement,

(c) the date of the injury and claim number,

(d) the name of the worker and of the employer,

(e) the name and contact details of any person authorised by the employer to enter into the agreement,

(f) details of any other employment in which the worker is engaged,

(g) any supporting information (including, for example, a contract of employment or payslips),

(h) any other information that the worker or the employer considers was taken into account in reaching the agreement,

(i) acknowledgement of the consent of the parties to the agreement.

(4) The worker or the employer may withdraw the application by giving notice in writing to the insurer.