Form 11 - Direction For Access To Information And Premises

Form 11 - Direction For Access To Information And Premises - 2011

Matter No:

/20

(Office use only)

July 2011

Direction

Direction for Access to Information and Premises

This is the approved form for directing the defendant to produce specified reports to the claimant and/or to

provide or allow access to the claimant to specified premises within a specified period for a purpose relevant

to a claim for work injury damages.

Claimant:

Defendant:

Filed by:

Postal address:

Postcode:

Phone number:

Email address:

Fax:

This direction is filed by:

Claimant

Claimant representative

Note - This form can only be completed by the claimant or their representative

PART 1 – Notice to Defendant

1.1 Production of Specified Reports and Other documents

1.1.1 Address for production

Name:

Address:

Production of documents

Unless the Registrar otherwise orders, you are directed to produce to the Claimant the documents

described below which are in your possession or control:

Production date

The documents must reach the Claimant at their given address no later than noon on:

Form 11

- Page 1 of 2 -

Date received (Office use only)

Form 11 - Direction For Access To Information And Premises - 2011