After Schedule 1 to the Principal Regulations , the following Schedule is inserted:

SCHEDULE 2 - Form of Notice for Purpose of Section 33A of Act

Regulation 23A

	NOTICE OF RIGHT TO MAKE WORKER'S COMPENSATION CLAIM
	Notice issued under section 33A of the Workers Rehabilitation and Compensation Act 1988
1.	On [insert date on which notice of injury was given by worker*] you notified the employer named below ( "your employer" ) that you had suffered an injury that you believe was caused by your employment with your employer.
2.	In accordance with section 33A of the Workers Rehabilitation and Compensation Act 1988 , I advise, on behalf of your employer, that you have the right under that Act to make a claim for compensation for the injury.
3.	If you wish to make a claim for compensation, you should do so as soon as practicable.
4.	Generally, you may only make the claim within 6 months after the date on which the injury occurred. However, if the injury consists of a loss of hearing due to exposure to industrial noise, you may only make the claim while you are still employed by your employer or within 6 months after you stop being employed by your employer.
5.	A claim for compensation must be made on the approved form. You may ask your employer for a copy of the approved form.
6.	You must attach to a claim for compensation a workers compensation medical certificate that has been issued by an accredited medical practitioner.
7.	You must tell your employer the name of the medical practitioner who is to have primary responsibility for treating your injury. The practitioner is to provide medical certificates, co-ordinate your medical treatment for the injury and, if necessary, assist in your rehabilitation and return to work. The practitioner must be accredited if he or she lives in, or provides services to you in, Tasmania.
8.	If you wish to talk with your employer about any matter related to this notice, you may speak to [insert name of person nominated by employer*] who may be contacted on [insert contact telephone number*] .
9.	If you need assistance in relation to the injury or a claim for compensation, you may telephone the Workplace Standards Tasmania Helpline on 1300 366 322 or, for callers outside Tasmania, 03 6233 7657.
	Signed by ………………………….
	[Signature*]
	on behalf of the following employer:
	………………….……….
	[Name of employer*]
	Note: Items marked with an asterisk are to be completed by a person authorised by the employer to give this notice to the injured worker.

Displayed and numbered in accordance with the Rules Publication Act 1953 .

Notified in the Gazette on 16 June 2010

These regulations are administered in the Department of Justice.

EXPLANATORY NOTE

(This note is not part of the regulation)

These regulations amend the Workers Rehabilitation and Compensation Regulations 2001 so as to prescribe a form for the purposes of section 33A of the Workers Rehabilitation and Compensation Act 1988 , to prescribe a maximum amount payable for burials, cremations and family counselling, to permit discovery in respect of certain proceedings, to prescribe the class of persons who may assess industrial deafness, and to prescribe, and revoke the prescription of, certain offences as "infringement notice offences".