Victorian Numbered Regulations

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WRONGS (PART VBA CLAIMS) REGULATIONS 2005 (SR NO 27 OF 2005) - REG 7

Respondent must provide information to Medical Panel

r. 7

For the purposes of section 28LZA(1)(a)(ii) of the Wrongs Act 1958 , the following information is prescribed—

        (a)     name of the respondent;

        (b)     address of the respondent;

        (c)     telephone number of the respondent;

        (d)     date on which the respondent received the claimant's certificate of assessment;

        (e)     name, address and telephone number of the respondent's legal or other representative (if any);

        (f)             name of the claimant;

        (g)     address of the claimant or the claimant's legal representative;

        (h)     telephone number of the claimant or the claimant's legal representative;

              (i)     date, time and location of the incident;

        (j)     description of the incident;

        (k)     details of the injury the claimant alleges to have suffered as a result of the incident.

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