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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