Format of Authority Letter for Workmen Compensation[CD1]
.
BEFORE
THE _________ WORKMENS’ COMPENSATION COURT, _________
_________
VERSUS
_________
Application
under the Workmen’s compensation Act For the grant of compensation of _________
/-
Authority Letter
Sir,
I, the undersigned do
hereby authorize _________, as my Authorised Representatives to conduct the
above mentioned case on behalf of me. All the agreements and commitments done
by my above said A.R. shall be ratified and confirmed by me.
Claimant
Dated:
Accepted by:
_________, resident of _________, _________, ________
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