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Group Title: Antigua, Montserrat and Virgin Islands gazette.
Title: The Antigua, Montserrat and Virgin Islands gazette
ALL VOLUMES CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00076853/00048
 Material Information
Title: The Antigua, Montserrat and Virgin Islands gazette
Physical Description: 12 v. : ; 25-35 cm.
Language: English
Creator: Antigua
Montserrat
British Virgin Islands
Publisher: Govt. Printer.
Place of Publication: St. John's? Antigua
Frequency: weekly
completely irregular
 Subjects
Subject: Law -- Periodicals -- Antigua and Barbuda   ( lcsh )
Law -- Periodicals -- Montserrat   ( lcsh )
Law -- Periodicals -- British Virgin Islands   ( lcsh )
Politics and government -- Periodicals -- Antigua and Barbuda   ( lcsh )
Politics and government -- Periodicals -- Montserrat   ( lcsh )
Politics and government -- Periodicals -- British Virgin Islands   ( lcsh )
Genre: federal government publication   ( marcgt )
legislation   ( marcgt )
periodical   ( marcgt )
 Notes
Dates or Sequential Designation: v. 1-12, no. 18; July 5, 1956-Mar. 30, 1967.
General Note: Includes supplements consisting of bills, ordinances, statutory rules & orders, etc.
 Record Information
Bibliographic ID: UF00076853
Volume ID: VID00048
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved by the source institution and holding location.
Resource Identifier: aleph - 001667609
oclc - 17270322
notis - AHX9420
lccn - 58045856
 Related Items
Preceded by: Leeward Islands gazette
Succeeded by: Antigua official gazette
Succeeded by: Montserrat official gazette
Succeeded by: Virgin Islands official gazette

Table of Contents
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    Antigua, Statutory Rules and Orders, no. 2 of 1957: Workmen's Compensation Regulations, 1957
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Full Text




Gel E, R lIR TSRArT

AND

r -rSLA .._;i. -; 47jU7rp T

J'itblishect _6y ffll!::orijy.


AN o ) i j e'

It is heri-by notifit. for general
infornmlttion that Brigtdiier K. 11.
COLhiEN asiurntd icom)tinand of the
Caribbean Are a on t he 3rd April,
1957, in successiowi to Brioadier R.
C. S. HALL, O.IP.E.

Chief er'reta ray's I.,' '
Antigua.
27th April, 1957.
Ref. No,. 531i000


Th 1 Administrator of Antigua has
appointed tlh undriiientiotned Marri-
age Officer for the Colony of Antigua:
Rleverend Henry Lee.
Administralor'l s 0('. ,
Antigua.
26th April, 1957.
Ref. No, S/1.


Ni. 5'!.
Appoiintmi lns, traisf' -rs, etc., in
tihe I'ublic service, witli otfeet from
the it slat-ld', :arI. publisied for
g'en"r i iioriimiti'ion:-

Armstrong, F., to 1hw Meter Reader,
S)epirtm.l -nt of Elctr crity Ice aind
Co)li :rage. Antigui;. Jan. 1

Athill, R., to he Junior C(lerk, centrall
Board If Health, Antigua.
April 1
Bailey, M., to be .Junior C(iork. Peasant
Development, Services, Agricultural
Departiituent, Antigua. April 1

Brown, Miss I., Uncertiiceated Teacher,
to I)- Certificated i' 1., I r r' School
Assistant, E luealni'ii Department,
Antigua. Jan. 1

Browne, V. E., Junior Clerk to be
Senior Clerk, Central Board of
Health, Antigua. April 1

Burton, Miss M., Uncertiticated Teacher
to be Certificated Elementary School
Assistant Class II, Education De-
partment, Antigna. Jan. 1

Byam, Miss H., Uncertificated Teacher.
to te Certificated Elementary School
Assistant, Education Department,
Antiunta. Jan. 1

Challenger, A. A. M., Chief Petty Officer,
Public Works Department. Antigua,
retir d. March 9

Charity, Miss E., to be Junior Clerk,
Administration, Antigua. Jan. 1


'X~ 2vB
-7 a~


Cockburn, Miss A., V c r t i i a; t e d
T'each.rl to I(-. Certificated len-.wnt-
ary School Assistant Cia> 1.1,
Edu etil Di )epartmnizit, Antigua.
.Tan. !.

Davis, A.. S-lnior Clerk, P asant Di--
veloplt lt nt Services, Ag\ricuii!iiual
Deparl ninit, Antiguia, dismi.'--, d.
April 16

Davis, i iss I., Incertificated Teacher,
to be C(ertificated El-mentary Scliool
Assistntii, Education D)epartnlent,
Antigua Jalin. 1

Davis, 0., UncertificAted Teaclher, to
bI (hertifieati-d Eliiiemntary cSliool
Assistant, Eduication ),partlittnt,
Antigua. .Jan. 1

Dyer, Mrs. P., C'.'rtiticated Elemntriary
Schliol Assistant Class 11, to lbe
Certificat-d E 1 e til i n t a r y Siehool
Assistant Class I, Education D)epart-
Inrnt, Antigut. .Ji. 1

Edwards, C. E., School Attendaince
Otiicer, Education Depart i-nt. to
Iw Hospital Steward, Hollbrton
I hospital, Antigua. Apiil 17

Edwards, R., Certificated Elementary
School Head Teacher, Class I, to be
Assistant Inspector of Schools,
Education Departmnint, Antigua.
Jan. 1

Ferris, A., UncIrtifieated Teacher to
l)e Certificated Elementary School
Assistant Class II, Education De-
partiment, Antigna. Jan. 1

Forde, K., to be Junior Clerk, Fish-
cries Branch, Agricultural Depart-
inent, Antigin. Jan. 1

Francis, Miss I., Certificated Elment-
ary School Assistant Class IT, to
be Certificated Elementary School
Assistant Class I, Education De-
partmrent, Antigua. Jan 1

Goatha, Miss S., to be Junior Clerk,
Department of El ctricity Ice and
Cold Stoi;-, Antigua. Jan 1

Gomes, Miss E., Uncertificated Teacher,
to be Certificated Elementary School
Assistant, Education Department,
Antigua. Jan. 1

Gordon, E., to be Junior Clerk, Adi-
ministration, Antigua April 14

Gordon, P., to be Junior Clerk, Post
Office, Antigua, Feb. 4


Gordon, P. A. W., Inspect r
to b le Educatiii (Olicer.
SDep-artillt.ilt, Antign!:i.


No. iU'.


E'd ocitioni
, jilt. 1


Gore, idiss V., to )t Junior 1i'l:1. Posi
U!ice..:, A dimiy :. A) rii l, 1956

Halstead, C., to le Juliii Clerk,
Prison, AntIigua. April 1

Hampson, Miss M., 1' n : e i fi c a t e d
Teachl.r to ib (.C-rJ.iic;te d Element-
ary Scliool Assistant (.lass 1I. Edu-
cation Departnmnt, Antigua.
,Jan. 1

Harris, W., Uncertificated Te''cet;r to
iobe ertilientied Elemenitary school
Assistant C(lT-s 1I, Educati- n De-
"artnient, Antigna. Jan 1

Henry, Mrs. E., Certific:tted 1. Ii. -, t.y
,Scl ol Assistant Class 11. to I)e
('' r t i ic a t e di Elemen'lary S<;hool
A:-sita it (Cliss 1, Ed'iuca!ion De-
pa lriinitt. Anitigua. .Jill. 1

Hill, Mrs. G., TItldl Teaclier. Virgil
lilhm ts to- i)- Certiticat,-d1 Elml-nli t-
ary Svl ,hl Aistalt C(lass 11, Edu-
atiton Dep)eirtment, Antiloni.
Ai>ril 15

Ho, G., St-niior (lerk, io b Principal.
DeIpartmentlt of CustI.oms, Excise
Port etc., Antigua. April 1

Hodge, P., Petty Officer Class III.
'Central iHo:ulr of Health, to be
Pftty Otllicfr, ( i -; IT, Mental
H.1spit;l, AntiIgua. April 8

Hodge, J. V., A c co n n t a n t, Peasant
Development Services, Agricultural
Delpartmenut, to be Examiner of
Acc,munts, Audit, Antign;i.
March I

Huggins, Mrs. C., Junior Cl rk, Ed uca-
tion Depatrtment, Antigua, resigned.
April 1

Hunte, C., to be Junior Clerk, Admin-
istration, Antigua. April 13

Husbands, C. S., Magistlate. Grenada,
to be Macistrate Districts A and
SB ", Antigua. April 1

Isaac, Miss D., C-rtificated Elementary
School Assistant Chlss II, to be
Certificated E 1 e mn n t r y School
Assistant ('lass I, Education De-
partment, Antigua. Jan. 1

James, Miss R., to be .Junior Clerk.
Magistrate's 011O.--, Antigua.
Jan. 1







94 THE ANTIGUA, M()NTSERIAT AND VTIRGIN ISLANDS GAZETTE.


Jarvis, Miss A., U:T,* 1 .- 1 T teacher,
to be Certificated Elementary School
Assistant. EIduciation )Depa:rtment,
Antinua. Jan. 1

Jarvis, S. C., Ju.nior Cl'rh, dminis-
tration, to be Senior Ci~rk, Ma.Lis-
trate's Office, Antigua. April 1

Johnson, Mrs. A. M., C-,tilict ed Ei--
meintary Sclhool Assistant i( 11,
o 'e (-t Elk1n.tie1tatry School
A| s;' ; :tt s I, '*M:..! n : -.


Kelsick, Mrs. J., to ie J.iurni io erk,
A(dtiii;.tr ioa Antin;. .hii. 1

Lynch, Miss E., to l)e Junior Clerk.
Education Departm'ent Anti.ia.
April 1

Martin, D., to he Jn.uior Clerik. )Depart-
ment, ol' Customns, Excise iPort etc..
Antigua. Jan 1l

Matthew, Miss N., to ble Junior Clerk,
P-st Ollice, Antitgua. Ma'y 20

Merchant, Miss B., Certificated Ele-
in-n'tary School Assistant ('I .- 11,
to he Certihe Aitd Etenilentary School
Assistant Cla:ss 1. Education Depart-
mient. Antihua. Jian. 1

Michael, V. A. B., Junior (Clrk,. P ,asant
D,-ve\lopment(i S'trvices, Agrici.,ltnral
Delartimeint, Anttigua
April 7

Oliver, L., junior Clerk, Cnstomis, to
be Senior C ler k, Post Otfice,
Antig.na. April 1

O'Marde, J. E., Junior ('i. 1., HI-olber-
;,on Hospital, seconded as Relievitng
Officer, Antigui. Apriil 19

O'Marde, Mrs. G., (". t ill .'- d1 Element-
ary School Assistant Class II, to
ib C 'rtificated Element:try Sibool
AsiKa: .nt Class I, Education DepaRt-
menit. A u\tigna. :.;n. 1

Parker, P., Uncertificated Teacher to
ite C.- 11:, I- Elementary School
Assistant Class II, Education De-
partment, Antigua. Jan. 1

Perry, Miss G., Uncertificated Teacher
to be (Crtificated Elementary School
Assistant Class I, Education Depart-
ment, Antigua. Jan 1

Pestaina, E. 0., Principal Audit to be
Accotuntant, Peasant Development
Services, Agricultural Department,
Aniigua. 1 Sept., 1955

Reynolds, C. N., Senior Clerk. Central
JIousiiig and Planning Authotrity.
to be School Attendatne Oflicer,
Education Delpartment. Antigua.
April 7

Roberts, C., Certificated Elementary
School Head Teacher Class II, to
Ii ''ortificated Elementary School
}letd T'acher, Class I, Education
Department, Antitua. .Jan. 1

Roberts, hiiss W., (-rtificatiie Elenw int-
;iry eitooul Assita:ti C(!;iss 11, to
li C rtifilicated Elenl(ntary Schlool


Assistant C'l i I, Education Depart-
ment, Antigna. Jan. 1

Rodgers, Miss V., to ble \Ward Sister,
Ilolberton Hospital, Antiuna.
March 25

Smith, Miss D., ittcertificated Teacher,
to b,) Certilicated Elementary School
Assistant. Education D)epartment,
An itigua. ,Jant.

Smith, I.i,;, E., Itimet'ificated Teacher
to 1)1. Certificated Elementary School
Assistant (Class II, Education De-
.art'itt ut, .\ aigua. ian. 1

Stevens, L., J nnior Clerk, Chief Secre-
aiy's ()lice, Leeward Island s, to be
Junior I (' r l., Administration,
Antigua. April 1

Walter, D., to be Junior Clerk. Public
Works Department, Antigna.
April 1

Walters, A. G., Petty Officer Class I
Registrars 0.'fic-, Antigua, n retired.
March 31

Warner, Miss I., certificatedd lletment-
ary School Assistant Class II, to
bt (Certificated ESi-.t-tn- n School
Assistant Class II, Education De-
l;patment. Antigua. Jan 1

Warner, L., TLUcertilicated Teacher. to
he Certifiated Elementary School
Assistant Class I, Educneation !)p;tt-
mn-it, Antigua. Jan. 1

Williams, A. E. L., Assistant Inspector
of Schools, to be Inspector of
Schools, Education Department,
Antigua. Jan. 1


CONFIRMATION OF ORDINANCES

No. 51.

Thie Secretary of State for the
Colonies has informed the governorr
that the power of disallowance will
not he exercised in respect of the
undermentioned Ordinances:-

Antigua..

No. 26 of 1956, "The Title by
Registration Act (Amendment) Ordi-
nance, 1956 ".
Ref. No. 47/00458.
Virgin Islands.

No. 18 of 1956, The Public Assist-
ance Ordinance, 1956 ".
Ref. No. 47/00376.


No. 52.

The following Statutory Rule and
Order is circulated with this Gazette
and forms part thereof:

A ntigua.

No. 2 of 1957, '" Tle W" iknen's
Conimp-nstion liegulations, I .'t;.
5S pp. Price 72 cents


The Magistrate's Code of Pri.-:Pdre
Act, Cap. 61 as Amended.



It is i titil flor ier;il i' f. lma-
ti.n that in exercisee of rlith were
vested in mrit- sy action 12A(2) of the
Mati'trat':-'s C'(l of Procedure Act,
0C'p. (!. ;:t 'wnetld, I, '- using
especial ir:st ;ia confidence in the
ioy'ilty, h'lt. titfvy ;1anI ?iility of
Joshua .***. ;. Joseph, i -rvey itori-
nate. cons'irate .' appoint the said
Joshua '"I.e:,. Joseph to bh1 a .Justice
of the I'a, ill and! for the Islani of
Bwhunla in tln COlonmy of Atiguna
during snch time as lie may he per-
forming the mliies of Warden of the
said Islnid i',f larlbudia.

D)atel this -" ':i day of April, 1957.

Alec Lovelace,
Ad.tintis.trator.

Admin isrator's ( ',*..
St. John's,
A diguua.
25th April, 1957.
Ref. No. A. 133,3 I.



It is notified for general informa-
tion th at by virtue of the power and
authloriyv vested in mie under section
3 of the Coroners Act. 1949 (No. 11
of 1949) and of all other powers and
authorities me thereunto enabling, I
do hereby appoint Joshua Hezekiah
Joseph. during such time as he may
be perfnrming the duties of Warden
of the Island of Barhuda in the
Colony of Antigna, to he a Deputy
Coroner in and for the Magisterial
District "C" in the said Island alnd
Colony.

Given under my hand at Antigua
the 23rd day of April, 1957.


Alec Lovelace,
A dministrator-

Adminiistralor'st Office,
St. John's,
Antiia.
-"'. April, 1957.
Ref. No. A. 13/33-11.



It is notified for general informa-
tion that Mrs. Juan Rosa Cassel of
Wilk-neson Cross. St. John's, Antigua,
was registered on the 24th April,
1957, as a citizen of the United King-
don and Colonies under the British
Nationality Act, 1948.

Chief '(,Scre/t ray's Office,
Leewr~od Islands
4I A .in, a.It
24th Ao"i. l'.27.
1,'el'. jo U.Aii~<'!32.


[Alay 2,~,19,57.






THIE NTIGUA, NONTSIl l AT AND VIRGrIN iSLAND S GAZK,'FTTE


TRADE MAIKS OFFICE',.
ANTIGUA, 11th April. 19357.

THE IRORDEN COM ( [_\ANY of 350
IMadison Av,,iiu,,, Newv :'lrk, Suate of
New Y :ok, U.S.A., hitv,- ;i )pii ii for
Registratiion of one Trladf(I M\,rk con-
sisting of the followinmi :


*tr|a c


in Cl':tse 42, that is to -ax : Sulisiances
use; as; food or s i~iriedieiin in food.

Th- Aplplicanits claim that they
have lused tihe said Trtade t Mark in
respect of tha said oodis for 35 years
beforl'e the date (of th-ir .said Applica-
tion.
Any person ni:y within three
months from the datti oif the first
appearance of this Advertisenient in
the Anjtigua, Mlon J.v'rrt i : f irgin
Island.,, ( a'l. i Hi-, ';ie o,,ice i:l dupli-
cate :it Iii T'rade- M31!rk; Oiliie. Anti-
gua. of oUppo-itioln i r 'iS:'trRi1i oii of
tihe s;id 'i'r.i- Mark.

CECIL () !!YON.
li,'. lror I' 7o Tild Mi ti',k.


City Rate for .';7

Notice is hereby givw-!i that the
City Hate Assis'sn int List f(,or 19.)7
has been posted on the oit, r door of
the Treasury 11and at the Oi ,- of The
Center' Hoa:rd otf Hiealth, Market
Street.
T'i rate fixed on 11roprtbies north
,of tlhe Sttreet which joins 1elinnett
adi lirsniiin St-reots under atn assessed
annually rental value if I. !.'.00 is 5%
and of I-8.)00( andI over 7cio. The
rate In all other properly under an
assessed atuual rented value of (it48.00
is 10,7 ami of S-4S It) ali over 15,o.
Any person wilho obiijct- to any
assessileint ill the said liiit uist lodge
his objection in writing with the
Secretary, Central Board of Health
within fourteen days after the date
of this notice.
A. R. Meade,
S(cr:,,tary,
Central Board of Health.
Central Board of Health,
Antigua,
18th April, 1i .7.
Ref. No. S.S. 5011-l I

RAIINF'ALL FICT (4P V
Agricultural Department,
A ntigua.
Month 1953. 1954. 1955. 1956. 1957.
Jlai ary 1.93 3.04 2.16 i.15 3.16
F-b. 1.112 2.4 .68 1.23 2.29


5.1)0 1.0S .83 1 40 .40


To Apr. 27 2,06 .49 1.75 3.23 2.37
10i 1 7.06 5.42 11.01 8.22


TRADE MA KS OFFV'E,
PLYAmi tT!H. MONTSiFR H.AT.
6h \ p il, 19357.
T. H. ESTAIBROOKS Co., Limited,
(if 6201 Park Avenue, Montreal,
Canada. Merchants have applied for
Registration of two 'Trade Marks con-
sisting of the followiii:-

i1)

1 ,'i .
,j



(2)


,.." 7 l.-7
'( ."/ /;. r. ,-- .


in class 42. that i- ti, sai : Substance~s
used as food or a.t ingredients in food.

The Applieants claim that they
have ils-ld ilie siid Trade Marks in
respect of thi sdiid Ioods for fifty-
s-een years before the date of their
said Application.
Any person may within three
months from thel dat, of the first
appearance of the Adver:isement in
the Antigyia, .1on/s'lerrat & Virgin
Islands Gfazeft't. ive niotlice in unpli-
cate at the Trade Marks Olfiee. Mont-
serirait of o]l)psition to registration of
the said Trade Marks.

F1. 0. (1. HARRIS,
]iegistraur of T'rade 5MIarks.


It is notified for general informa-
tion that lby alreiement reached l e-
twe"ni the Post O(lice departmentt of
Canada and the (Governiment of Anti-
gua, the Convention concerning the
exchange of Money Orders between
thl IDominion of Canada atn the
Colony of Antigua signed fit Ottawa
on 21st June, I'..'d, and at St. Joiin's,
Antigua, on 16th July, 195.6 and
published in Gazette No. 6 of 3rd
August, 1956. has been amended by
the insertion therein of the following
"Preamble" immediately after the
first paragraph-
WHEREAS the foregoing Con-
vention is to be executed by the
Administrator of Antigua on behalf
of the Government of Antigna with
thll authority and consent of Her
Majesty's Government in the Uni-
ted Kingdom NOW THERE-
FORE --"

Administrator's Office,
St. John's,
Antii/ua.
24th April. 1957.
Ref. No. A. 3/1253.


Appl;cati[is are invited from suit-
aI,~ ijiualified candidates preferably
bachelors, for appointment, to the
post of Supernumerary Veterinary
Officer for Grenada, St. Lucia, and
St. Vincent, particulars of which are
as follows:-

Appointment:
'Th,: ipot is at present non-pension-
abl.. I'The ollic.r will bh subject to
the Colornial leullhition, local Gen-
eral (lrd-rs, Fiii;.nc:i; anid Store
h[iilr s a a all Isit ri e .. latio s, as
Imy ftitii tinw to ti)ime h in force.

Salary:
Th,, slary is in the sorJ. $;,S4-0 x
1i20- .i...* (i"ii x 25--1000) per
anim., plus a jIaiy addition of 20t" of
salary.
Allowances:
iTrav lliii a l1 Su!o i'iteic, :;ilow-
aniics will ,( p:]yable in ccorrance
with local r-gulat:.ins in respect of
approved travel on duty.

Quarters:
Quarti-'rs air not, proid, d. bhut in
thl- evx-nt of (Govt'riiment qiuiri'ters
being available the 11' i V ', ill be
required ,o )j\ refnt;I not exce-ding
10l of lis si lir: .

Leave and Leave Passages:
\.icatlio I.r ic will ho _raiiit l at
the r;iti of( 4.5 days [or each cncpl'iltid
p-riod of 12 minlths ri-sident device,
acciumul:bll. up t., 180 day.
i1 -av. ia s'i l \ il i (- ilr iii-d in
accordiic.- wilh iied rC'A]:litims.

Passages:
I ,e iii-a.ss .i- to ih \W inilward Is-
laiiis will iie !i ro iii d for tlie officer
:and it m,'i'i. xI whie and children
noit xee'-dinlL i p soI in all: child-
rtn to )e lundcr 18 ye:irs of age,
unmtllllrried alnl Idet'"leliiit on the
officer.
Duties:
The olticer \%il have his hladqna-
ters in (ir tiiad; l xxt will lio required
for dutyi in al.y oi tlhe thrio Islands.
Ife will hie re.t1oi>ihi o to thli (hilf
Secru-iiry lut \ill 1w iundr til, con-
trol of the Snupeintendent iof Agri-
cultur,' of tlh CoUlony in which he is
for tihe time beina s-xving.

Medical Attendance:
Free ulolical attendance and nmidi-
cintes ar-' not priovidi d.

Taxation:
All Governm-i nt officers are1 liable
to taxation imposed by local legisla-
tion.
Applications giving fnll details of
qualifications andil experience of candi-
date, and accompaniedd by two testi-
monial-. should Ie addressed to the
Chief Secretary. Wiindward Islands,
and should reach him not later than
the 30th Jnne, 1957.

Administrator's Office,
St. John's,
Antigua.
29th April, 1957.


Ref. No. A.C. 13/89-IIs.


_Alai 2, 1'.)1571


Miiar






96 THE ANTIGUA. MNIONTSE1,1.A.T AND) VJIRiJN ISLANDS GAZETT [t 1


An im al 1 usbandry Officer,
Department of Agriculture,
British Honduras.


1. Appointment.

The appointment, which is non-
pensionable will ie' for it period of
3 years, including leave in the Lirst
in-tane--. It will b subject to a
satisfactory medical examination as
well as to the Ihoilnil Ronulhtions
and to the (Gnhorald Orders of British
Homluras in force for the tinme being.

2. Salary.
The saluy scdle is $3.120 x 120--
3,240 x 150-4,740 E.B. 4.920x180
--5.460 with entry at a point deter-
minid by y ay speci'il qualifications
and experiencee. The current rate of
exchange of th l BH dollar is $4
equal l stfr:in Half s:lary will
be pai;d fromn t ;li'ti, ofembarkation,
and full salary from tlhe date of
arrival in British Honduras.

3. Allowances.

Travelling ;Inl subsistence allow-
ances are iay:'bl- at local rats for
lppl )tived' travt l on duty. Under the
pres-nt R uliations actiiual transport
expenses are paid and subsistence is
at tle rate of $2.0( a day for the
first 6 days anl : th reafter.

4. Gratuity.
Oin nati-fa:.'iory complPtion of the
appointment lie officer will be enti-
tied to a gratuity equal to 10% of tihe
total salary drawn during the period
of eii,_in'! ei nt .

5. Quarters.

A (Goveonmrn-nt qnartlr will be
pr viilidit .a iO al t 1 l e
He j i',r- of I h A Ir iuit ral
Dep tnt. I, oen is chait il at the
rat, of 7Q,, (o! salary, subject to a
maxiiimumi rate of 1 ia yeair. Heavy
Fliriturii is provided it a rent of
6% a yrw of its total value.

6. Leave.
Vacation leave on full salary will
be _.ranted at the rate of 5 days for
each coitilet ld month of resident
ser;vo, sl~sii leave to lv e taken on the
satisfCel!ory completion of the period
of envagenmelnt.

7. Passages.
On list appointment frE, passages
will Ih- provided for the ollicer. his
wife and children, not exceeding
five iper;ons in ;ll. On leavI t fre
passa-es will be provided for the
oil. his wife and two children.
Chiliir -in sHlould be under 18 years,
nnim' ,ii- ard dI poend ilt cn the
oflicir.

3. Medical Attendance.

Frte w- ii ial tr'.itui n,,t ;At G( ern-
ment lp,-ilals will be provid,'d for


the "dlt.- A. On admission to Hospital
the maintenane- clrtirg. is at the rate
or $2 a day.

9. Income Tax.
The ttlicer will b H liabl to income
tax in accordance with local rates.

10. Duties.
'I'll- oicer will be responsible to
the Dircetor of Agriculture for live-
stock policy. His duties wiil entail
extensive travellinn amonigt cattle
producers. MH mayy bh called upon
to act for the Veterinary Oflicer when
the latter is oin I-ave.

11. Qualifications.

Practical experience of tropical
livestockI ilnproveinlntt proIranImmes,
especially in cattle anl pasture work.
A degree in Agiriculture will ie an
added ad vantage.

12. Method of Application.

Applications should reach the
ColoniAil Secretary, Belie-, by the
15th of I .., 1957.
IRef. No. 130;1K 3


Shorthand Writer, Legislative
Council. Grenada.

Applienation are invite I forlu suit-
ably qualified clididates for appolint-
menltlt tlie vacant post of Shorthand
Writer, Legislitive council Grenada.
The post, which is that of a n
Administrative Assistant in the
General Civil Service, is pensionable.
The sncessful cailidate will, how-
ever. be on probation for one year in
the first instance. On the satisfactory
conclusion of t h probationary
appointment, the appointee will be
confirmed. The appointee will he
subject to Conlo, ial Regulations
General Orders, Finainial Roles and
such other Orders as may from time
to time be in force.

2. The salary attached to thle post
is in the scale .-,".12 x --. ;--,' )
together wilh a pensionable pay
addition of 20 per cent. of salary.
A point of ertry in the scale may be
fixed in accordance with the candi-
date's tlualifications and experience.

3. 'The duties of the Shorthand
Writer are as follows:-

(i) attlnding nmetings of the
tLgislative (Council and re-
cordinmi the proceedings ac-
curately in shorthand;
(ii) transcribing the notes taken
a n 1 making typewritten
copies tihereof;

(iii) undertaking any other duties
that maiy he assigned by the
Adminiis i-trator.

4. Candidate< i should 1 in posses-
sion of at least the Camliridig School
(te'-tiliate or its. equialent, and must
1e capable of writi:g accurate short-


hand at a spe*-d of not less than 15t
words per minute of typewriting
speed of noi ilets than 60 words per
nmiinute. Previous experience in
legislature ,nd court reprting will
be an advantage.

5. Vacation lave is earn at the
rate of 45 days for each coin mited
month of respidentt service op to a,
maximum of 180 days, ibjlect. to the
completion of' a mliinilumn tour of
service of Iwo ximars.

6. A candidate, if selected from
ovtersetas, would li be provided with
passages to Grena !a for hiunself, his
wife, aind children (if any) not ex-
ceedinti fiv.- persons in all. provided
the either accltnlipany hin to Grena-
da or join himii here within twelve
months of his departure lor thie
Colony: (children to be under 18
years of aitg<. aunmarriedc and depen-
delnt onl the oIhicer).

7. Applications slinuld 1,e in the
candidate's own handwriting and
should state:-

(i) age:

(ii) sch-ool or schools or Univer-
sity at which education and
certificates or diplomas ob-
tained;

(iii) lnatull of present andl past
employment with dates:

(iv) amount of monthly salary or
wages Iarned in the post in
which applicant was last
employed:

(v) past experience in work of the
same or similar kind to that
required for this post;

(vi) cor'ified copies of at least two
teflinimonials should be for-
warded.

S. Applications should be address-
ed to the Secretiary of the Public Ser-
vice Con(ilissito. Government O11I..e
to reacil him 'lt later than 30th
April, 1957.

9. Applicants already in the Pub-
lic Service must submit their applica-
tions through the normal official
channels.

Administrator's Office,
St. John's,
Antigua,
29th April, 1957
Ref. No. A.(C 13/89- TI


Applications are invited front suit-
ably qunilfiied endidates for appoint-
ments to tlie post of Agricultural
Officer (lI.search) Cainden Park
Experimental Station, Department of
Agriculture, St. Vincent, particulars
of which are as follows:-

Appointment:
I s. pslt IS non-ipentsioniable, and
the appidinttn!t will be on a con-


[)Iay 2", 19,57.







THE ANTIGUA, 1MONTSERRAT AND VIRGIN ISLANDS GAZETTE


tracttual basis, or oiln 1(cond1menlt. for
b i'i,-.i of 2 yevors in the tirst
instance. The pension right of any
fiensionable seconded .tl. w ill he
rved.
Duties:
ties ,of the oli ,v, i ,o '
sho: .w :asigined to him by lh Su;;ie'rin-
ten&d,,t of .'Agriculture to wholmn he
will ih:e Jirel:tly rosponsii)lo. The
iitis; will inoinde- iii gen, rai admin-
istrl.ati ln c! the 100 acre C'andei) P irk
Expinmrnt :Stati >i withi1e *i:r'otion

Ilvo-At.ia'ni<,mll work wiih :1i aspects
ol' 1ulnvintoiii a,1d tl-nstin. r:i- f cash c(rops anii fro : crops
Rani th compiling of Uti ecessary
ai itisticsi. Supervision of Ihe manage-
ni,'t if livst(Ick, comprisinig breed-
ing stock of cattle, pigs, goats, sheep
and poultry on the Station.

Qualifications:
The minimum qualification re-
quirl1 is the Diploma of the Imperial
C' llcge of Tropical Agriculture or an
e (iuivalent degree, with experience in
Tropical Agriculture. General admiti-
isitrtiotl experience and knowledge
of applied research and extension
work would bhe advantageous.
Salary:
The salary is in the scale ..*.i
120---1 .''., plus a pay addition of
-20W'; of salary.


Allowances:
Travelling and Subsistence Allow-
ance are payable in accordance with
local rmgulati,1ns, :in respect of
approved travel on duty,

Quarter:
Qu;.trort.- a; i provide ed at thie .tationl
for which rental will be charged at
the rate of 1[f oif salary or '5", of the
C (assee'd value of thi r'oiiers, whient
evfr is less.


FrIee .,i -:'a i,. *-. Vincent will
provided on firri appointment for the
officer. hisi wif, and children, not
'\ceeeding five persons in all: children
io b under IS yvars of age. unmarrisd
and dependent ,on the officer. In the
case of a contract appointment, free
passages will be provided on the
satisfactory termination of the .con-
tract.

Leave and Leave Passages:
Vacation leave on full salary will
be granted in accordance with local
leave regulations. In the c:ise of a
contract appointment. vacation leave
will b1 granted at the rate of one
week for each completed period of
three months resident service. Such
leave to be taken on the satisfactory
termination of the contract.


Leave pa-sai. aI'e pr vided in
accordance with the- Windward Is-
lands Leave PIasage Regnlations.

Medical Attention:
Free medical attention and medi-
cines are not provided.

Taxation:
All (Government officials a-r liable
to taxation imposed ly local enact-
ments.

General:
The *.!.-, will be Iubject to the
Colonial 1ieL'ulations, local General
Orders, and Financial and Store
IRles and Subsidiary Legislation in
force for the time being.

Applications giving full particulars
of applicant, and accompanied by twQ
testimonials, should be addressed to-
the Chief Secretary, Windward Is-
lands. Grena'a. and should reach hins
not lat-r than th1 31st May. 1957.


Administrat(r's Office,
St. .],,t('1s,
.I n ti{u/a.
I 7h Apr/il, 1957.
IRef. No. A.C. 1:890 --II.


"'it,',tcidt athebe Gvreiiment ?nnl ing rOffic. Antigus, Leeward s1Mhnds, by &. M. Pli i'n A ,
Gicov4ernmlent Priicter.- y A uthor~ty.
1957,


[Prics 79 cents]


4) r: '', li;7








fl W ANTIGUA.
UTORY RULES AND ORDERS.
S1957, No. 2.

RKKMEN'S COMPENSATION REGULATIONS, 1957, DATED
JANuA\HY 23, 1957, MADE BY THIE GOVERNOR' IN COUNCIL
UlND.ER SECTION 50 OF THE WORKMEN'S COMPENSATION
ORDINANCE, 1956 (No. 24/1956).


1. Short Title. These Re.ulatio.ns may be cited as
the Workmen's Compensation Regulations, 1:..7.
2. Interpretation. In these Regulations unless the
context otherwise requires-
"clerk" means the clerk of the court;
"the court" means a magistrate's court having
jurisdiction in any matter under the Ordinance;
"the Ordinance" means the Workmen's Compensa-
1 tion Ordinance, 1956;
"Schedule" means Schedule to these Regulations;
Section means a section of the Ordinance.
PART T.
PROCEDURE ON APPLICATION FOl COMPENSATION.
3. Applications under section 37 (1). Any
application of the nature referred to in section 37(1) shall be
filed with the clerk and shall unless the court otherwise directs
be made in Form 1 or Form 2 in Schedule A, as the case may
require, and shall be signed by the applicant.
4. Application by Employer under section
37(1). (1) Where the employer on whom a chnim fcr com-
pensation has been made desires to make an application under
section 37 (1) he shall file an application in accordance with
regulation 3 to which the workman or his legal personal
representative, if any, and the persons claiming or who may be
entitled to claim to be dependants of a deceased workman, or
the other persons (as the case may be) on whose behalf the
claim was made, shall be respondents.

", / 3 ._ y
L. . ; .-








(2) The application shall have appended or annexed
thereto the following particulars:-
(a) a concise statement of the circumstances under
which the application is made;
(b) a statement whether the applicant admits his
liability to pay compensation, or denies such liability,
wholly or partially, with (in the latter case) a statement
of the grounds on and extent to which he denies liability;
(c) a statement of the matters which the applicant
desires to have settled by the application; and
(d) the full names and addresses of the respondents
and of the applicant, and of his solicitor, if the proceed-
ings are commenced through a solicitor.
5. Masters, Seamen, Apprentices. In the
application of the Ordinance and these Regulations in the case
of masters, seamen, and apprentices to the sea service who are
workmen within the meaning of the Ordinance, and who are
members of the crew of any such ship as in section 33
mentioned, and to any person not being a master, seaman, or
apprentice to the sea service employed on board any such ship
as in section 33 mentioned, if he is so employed for the purposes
of the ship or of Hny passengers or cargo or mails. carried by
the ship who ire workmen within the meaning of the Ordi-
nance, lthe following paragraphs shall have effect:-
(a) in the case of the death cf a master, seamani, or
apprentice, the claim for compensation shall state the
date at which news of the death was received by the
claimant;
(b) the claim for compensation on behalf of depend-
ants of a master, seamLan, or apprentice lost with his
ship, and the particul, rs appended or annexed to the
application for comlpensaition, shall state the date at which
the ship was lost or is deemed to have been lost;
(c) an application for compensation under section 33
shall be according to Form 3 or Form 4 in Schedule A as
shall be applicable to lte case, with such modifications as
the nature of the case shall require;
(d) in any document, notice, or proceeding it shall
be sufficient to describe the owners of the ship as the
owners of the ship "; and the provisions
of the Rules of the S!i reme Court as to disclosure of the
names of partners shall with the necessary modifications
apply to the disclosure of the names of such owners;








(e) -bjt to the provision of subsection (1) (a) of
section 33 as to service of notice of accident and the claim
for compensation, any document, notice or proceeding to
be served on the owners of a ship shall be deemed to be
-ithi-.:ntly served if served on the managing owner or
manager for the time being of the ship, or (except where
the master is claiming compensation) on the master of the
ship; and subsection (1) of section 696 of the Merchant
Shipping Act, 1.'. I, shall apply to service on the master
of the ship, and where the master is claiming compensa-
tion, and there is no managing owner of the ship, service
may be effected in accordance with paragraph (c) of the
said subsection.
6. Notice to Respondent. The clerk shall cause
to be served on the respondent a copy of the application and
shall call upon the respondent within seven days from the
service of the copy of such notice to file a written answer
(,iit ining a concise statement of the extent and grounds of
opposition, if any, to the claim.

7. Answer by Respondent. The respondent shall,
Within seven days from the service of the copy of such notice
or such further time-:s the court may allow, file with the c!erk
a written answer containing a concise statement of the extent
and grounds of opposition, if any, to the claim raised in the
application, and any such answer shall form part of the record.

8. Procedure when Indemnity claimed d
under section 25 (2). Where the respondent claims that
if compensation is recovered against him he will be entitled
under subsection (2) of section 25 to be indemnified by a
person not being a party to the case (hereinafter referred to as
"the third party ") he shall, within seven days after beiag
served with the copy of the application, tile a notice of such
claim with the clerk, and the clerk shall thereupon cause a
copy of the notice of such claim in Form 5 in Schedule A to
be served upon t0e third party. and the third party shall file a
written answer dealing with the matters raised in the applica-
tion or with the claim for indemnity or both within seventh days
,from the service of the copy of the notice thereof or such
further time as the court may aldow.

9. Procedure where claim admitted. If the
respondent or the third party admits the claim, he may at any
time before the first hearing-








(a) where the application is made by an injured
workman-
(i) file with the clerk a notice that he submits
to an order for the payment of a weekly sum, to be
specified in such notice; or
(ii) file with the clerk a notice that he submits
to an order for the payment of a lump sum, to be
specified in the notice, and pay such sum into court;

(b) where the application is made on behalf of the
dependants of a deceased workman, or for the settlement
of the sum payable in respect of medical attendance and
the burial of a deceased workman who leaves no depend-
ants, file with the clerk a notice that he admits liability,
and pay into court such sum of money as he considers
sufficient to cover his liability in the circumstances of
the case.
10. Failure of Respondent or third party to
file statement. If the respondent or the third party fails
to file a written answer dealing with the claim within the
prescribed time or within the time fixed by the court on an
application to enlarge the time, he shall be taken to admit the
claim.
11. Date and Place of hearing. (1) Where it
is necessary to proceed to a hearing the court slhall fix a date
and place for disposing of the application under regulations 3.
or- 5, or of the claim for indemnity, if any, minder regulation 8
of these Regulations; and shall cause a notii of hearing in
Form 6 in Schedule N to be served on the different parties
calling upon them to produce any evidence which they may
wish to tender.
(2) The date of hearing of an application under regula-
tions 3 or 5 of these lRegulaiont; shall.be so fixed as to permit
not less than fourteen clear days to elapse between the service
of the application on the respondent and the hearing of the
said application.
12. Non appearance of Applicant. If, on the
day of hearing of any application or at any adjournment
thereof, the applicant does not appear, the application shall be
dismissed, unless the court having received a reasonable excuse
for the non-appearance of the applicant or for other sufficient
reasoii, thinks fit to adjourn the hearing to some future day
upon such terms as to costs as the court may think just,
I1








13. Absence of Respondent or third party.
If on the day of hearing of any application or at any adjourn-
ment thereof, the respondent or third party does not appear,
the court may proceed to hear the case in his absence, unless
the court, having received a reasonable excuse for his absence,
or for other sufficient reason, thinks tit to adjourn the hearing
to some future day upon suclt terms as to costs as the court
may think fit.
14. Record of Proceedings. There shall be re-
corded in every proceeding a note of the steps taken on the
application.
15.' Orders. (1) A magistrate, in making orders,
shall record concisely his findings and his reasons for such
findings.
(2) The magistrate, at the time of -i.iiin_ and dating his
order, shall pronounce his decision, and thereafter no addition
'or alteration shall be made to the order other than the correc-
tion of a clerical or arithmetical mistake arising from any
accidental slip oromission.
(3) An order shall be in such one of Forms 7, 8 or 9 in
Schedule A as shall be appropriate to the circumstances of the
.case, with any necessary variations.
16. Right of Entry for Local Inspection.
A magistrate before whom any proceeding relating to i injury
by accident is pending may at any time enter the place where
the workman was injured, or where the workman ordinarily
performed his work, for the purpo,-e of making a local inspec-
tion or of examining any persons likely to be able to give
information relevant to the proceedings:
Provided that the magistrate shall not enter any premises
of any industrial establishment except during the' ordinary
working hours of that establishment. save with the permission
of the employer or of some person directly responsible to him
for the management of the establishment.

17. Procedure in connection with 1ocal
Inspection. (1) If the magistrate proposes to conduct a
local inspection with a view to examining on the spot the
circumstances in which atn accident took place, he shall give
the parties or heir representatives notice of his intention to
conduct such inspection, unless in his opinion the urgency
of the case renders the giving of such notice impracticatble.








(2) Such notice may be given orally or in writing, and,
in the case of nn employer, may ie given to any person upon
whom notice of a claim can be ser ed under subsection (2) of
section 16 or to the repr rsentative of any such person.
(3) Any party, or the representative of any party, may
accompany the magistrate at a local inspection.
18. Procedure in Connected Cases. Where
two or more cases pending before a magistrate arise out of the
same accident, and any issue involved is common to two or
more s such casesuch cases ,:y. so far as the evidence bear-
ing on such issue is coincerled, be taken together.
19. Summoning of Witnesses. If an application
is presented by any party to the proceedings for the citation
of witnesses, the clerk shall, on paylmeint of the prescribed
expenses and fees, issue sumiinonses for the appearance of
such witnesses, unless the migi,:strate considers that their
appearance is not necessary fur the just decision of the case.

20. Exemption from Payment of Fees. If
the magistrate is satisfied that the applicant is unable, by
reason of poverty, to pay the prescribed fees, he may remit
any or all of such fees. If the case is decided in fafour of the
applicant, the prescribed fees which, had they not been
remitted, would have been due to be paid, may be added 1o
the costs of the case and recovered in such manner as the
magistrate in his order regarding costs may direct.
21. Filing and Service of Documents. (1)
Where any document is to be filed with the clerk under these
Regulations, that document may be so filed by delivering it at
the office of the clerk or by sending it by registered- post to
the clerk at his office.
(2) Where any document is to be filed, there shall be
filed with the original document as many copies of the docn-
ment as there are persons on whom copies of the document
are to be served, and in addition a copy for the use of the
magistrate.
(3) Where any document is under these Regulations to
be served upon any person, such document may be served-
(a) upon the Crown, by service upon the Head of
the Department in which the applicant was employed at
the time of the accident, or by leaving it at the office of
such Head of Department;








(h) upon an individual, by service upon him person-
ally or by leaving it at his last known place of abode
or business;
(c) upon a Town or Village Council or Board by
service on the Town Clerk or the Secretary of such
Council or Boar.l, as the case may be, or by leaving it at
his office;
(d) upon a corporate body, by service on the secre-
tary or by leaving it at the registered office of such
corporate body;
(e) upon a Club, by service on the secretary or any
member of the Managing Committee.
(f) upon the master of a ship or a person belonging
to a ship, by service on such master or person by leaving
the document for such master or person on board the
ship with the person being or appearing to be in command
or charge of the ship, or where no such person can be
found, by affixing a copy of the documnent to the mast of
the ship.
22. Apportionment of Compensation be-
tween Dependants. The provisions of this Part of these
Regulations shall, as far as may be, apply in the case of any
proceedings relating to the apportionment of compensation
among dependants of a deceased workman.
23. Application for Detention of Ships. (1)
An application for the detention of a ship under section 31
shall be made in accordance with the provisions of the succeed-
ing paragraphs of this regulation.
(2) The application may, subject to the provisions of
paragraph 8 of this regulation, be made er part either in or
out of the Supreme Court, according to Form 10 in Schedule
A, and shall lie supported by affidavit or other evidence show-
ing to the satisfaction of the judge, the grounds on which the
application is made.
(3) The judge may, before granting the application,
require the applicant to give or procure an undertaking in
Form 11 in Schedule A or such other form as the judge may
require, to the satisfaction of the judge, to abide by any order
as to damages and costs which may be thereafter made, in ease
any person affected by the order for detention shall sustain
any damages by reason of the order which the applicant ought
to pay.








(4) An order for I.1,t i-tin shall specify the amount for
which security shall be given, and shall be according to Form
12 in Schedule A, and shall be issued in triplicate; one copy
shall be delivered to the applicant. and the other two copies to
the officer named by the j v.cL: and one of such last-mentioned
copies shall be delivered by tie officer to the person who is at
the time of the execution of the order Ipp.lreiitl in charge of
the ship, or shall be nailed or affixed on the main mast or on
the single mast of the ship; and the other copy shall be
retained by the officer.

(5) The judge may at any time on good cause shown
rescind any order for detemion made by him.

(6) The provisions of the Rules of the Supreme Court as
to security, shall with the necessary modifications apply to the
giving security; and the approval by the judge of any security
shall be signified in writing signed by him. Where security
is given by bond, such bond shall be according to Form 13 in
Schedule A.

(7) If the judge rescinds any order for detention, or is
satisfied that satisfaction hIas been made, or when.security has
been given and approved, or in any other case if the applicant
so requires, the judge shall deliver to the party applying for
the same an order according to Form 14 in Schedule A,
directed to the officer named in the order for detention,
authorising and directing him, upon payment of all costs,
charges, and expenses attending the custody of the ship, to
release it forthwith.

(8) With respect to notices of applications for orders for
detention, and to undertakings to give security, the following
provisions shall have effect:-

(a) notwithstanding anything in this regulation
contained, a person intending to apply for an order for
detention shall, if the name and address of an agent in the
Colony for the owner of the ship, or of a solicitor in the
Colony authorised to act for the owners, agent, master, or
consignee of the ship, are known to him, give to such
agent or solicitor by post or otherwise, such notice of the
time and place at which the application for an order for
detention is intended to be made as may be practicable in
the circumstances of the case;








(b) if a solicitor in the Colony represents that he
is *litlitiri-... to act for the owners, agent, master, or
consignee of the ship, and signs an undertaking according
to Form 15 in Schedule A to put in or give security for
an amount agreed (m between the parties or fixed by the
judge, then, on such undertaking being filed in the
Supreme Court, the judge may in his discretion refuse to
make an order for detention, or if an order for detention
has been made, but not executed, the judge may rescind
it, or if an order for detention has been made and
executed, th e judge may deliver to the party applying
for the same an order of release in accordance with para-
graph (7) of this regulation;
(c) a solicitor who fails to put in or give security in
pursuance of his undertaking to do so shall be liable to
attachment.
(9) Where proceedings for the recovery of compensa-
tion are taken against the persons giving security, the
application for compensation and particulars shall state
concisely the circumstances under which the persons giving
security are made respondents. The application shall be
in Form 16 in Schedule A.
(10) Tih costs incurred by any party in relation to an
application for an order of detention and any proceedings
consequent thereon may in any subsequent proceedings for
compensation he allowed as costs in the application for
compensation.
(11) This regulation shall apply to claims against
charterers under subsection (5) of section 34, charterers"
being substituted for "owners in these cases.


PART II.

Procedure with regard to Agreements.


24. FORnM OF \ i.ION N IDM 01 AGREEMENTS. (1)
A memorandum of agreement sent to the court under sub-
section (1) of section 21 shall unless the court otherwise
directs, be in duplicate, and shall be in as elose conformity
as the circumstances of the case permit with one of the
Forms 17 and 18 in Schedule A as the case may require.








(2) Every such memorandum shall contain the like
particulars as would have been required if the memorandum
had been an application for compensation under these
Regulations.
25. APPLICATION TO HAVE AGIREIMENT MADE A JUDG-
MENT OF THE COURT. Where an application is made to
have an agreement made a judgment of the court, a
memorandum thereof shall be sent by any interested party
to the clerk who shall on being satisfied as to its genuineness
record such memorandum in a special register to be kept
for that purpose:
Provided however that no such ,memorandum shall be
recorded before fourteen days after the despatch by the clerk
by registered post, of a notice in Form 19 in Schedule A to
the parties interested.
26. REGISTRATION OF MEMORANDUM ACCEPTED) FOR
REtCORD. In recording a memorandum of agreement, the
magistrate shall cause the same to be entered in the special
register, and shall cause an endorsement to be made undtr
his signature on a copy of the memorandum to be tiled in
the following terms, namely:-
This memorandum of agreement bearing
Serial No. of l1: in the register of
agreements has been recorded this day of
(Signature)
Magistrate. "
PART III.
Review on Redemption of weekly or half-monthly
payments.
27. WHRN APPLICATION MAY lIE MADE WIThOUT
MEDICAL CERTIFICATE. Any application for review of a
weekly or half-monthly payment under section 12 shall be
in Form 20 in Schedule A and may be made without a
medical certificate-

(a) by the employer, on the ground that since the
right to compensation was determined the workman's
wages have increased;
(b) by the workman, on the ground that since
the right to compensation was determined his wages
have diminished;








(c) by the workman, on the ground that the em-
ployer, having commenced to pay compensation, has
ceased to pay the same notwithstanding the fact that
there has been no change in the workman's condition
such as to warrant such cessation;

(d) hy the workman, on the ground that he has
ceased, since the right to compensation was determined,
to he a minor;

(e) either by the employer or by the workman, on
the ground that the determination of the rate of compen-
sation for the time being in force was obtained by fraud
or undue influence or other improper means.

28. PROCEDURE ON APPLICATION FOR REVIEW. If on
examining an application for review by an employer in
which the reduction or discontiinuance of weekly or half-
monthly payments is sought, it appears to the magistrate
that there is reasonable ground for believing that the
employer has a right to su:h reduction or discontinuance,
he may at any tim ise sue an order withholding the weekly
or half-monthly payments in whole or in part pending
his decision on the application.

29. PROCEDURE ON A'IICATION FOIlR IIEDEMPTION.
(1) Any application for redemption of a right to receive
weekly or half-monthly payments by the payment of a lump
sum shall be in Form 20 in Schedule A.
(2) Where application is made to the court under sub-
section (2) of section 12 for the redemption of a right to
receive weekly or half-monfthly payments by the payment
of a lump sum, the court shall form an estimate of the
probable duration of the disablement, and shall award a sum
equivalent to the totA;l. of the weekly or half-monthly
payments which would be payable for the period during
which he estimates that the disablement will continue, less
one half per cent of that total for each month comprised in
that period.
(3) When, in any case to which paragraph (2) of this
regulation applies, the magistrate is unable to form an
appropriate estimate of the probable duration of the disable-
ment he may from time to time postpone a decision on the
application for a period not exceeding two months at any
one time.








80. APPLICATION FOR ORDER WHEN WORKMAN UNDER
DISABILITY. An application under subsection (6) of section
14 for an order that a weekly or half-monthly payment
payable to a workman under any legal disability shall
during the disability be paid to any defendant or other
person may be made either by the person liable to make
such payment or by or on behalf of the workman entitled
to such payment. The application shall be made in Form
21 in Schedule A and shall be served on every interested
party.
31. APPLICATION FOR VARIATION OF ORDER. Al
application for the variation of an order of the court under
subsection (7) of section 14 may be made by or on behalf of
any person interested. The application shall be made in
Form 22 in Schedule A stating the circumstances under
which the application is made and the relief or order which
the applicant claims, and shall be served on every other
interested par:y.

PART IV.
Deposit of Compensation.
32. DEPeoIT OF COMPENSATION GENERALLYY. Co0n1-
pensation shall be deposited with the clerk-
(a) under an order of the court directing a
specific sum to be paid in as compensation; or
(b) under an agreement between an employer or
other person liable to pay compensation and a workman
or the dependauts of a workman according to the tenor
thereof; or

(c) pursuant to a claim for compensation or to
an application for compensation, against an employer
or other person liable to pay the same who admits
liability, or denies liability but is willing to pay an
amount in settlement of the claim.
33. DEPOSIT UNDER SECTION 14(1). (1) An employer
depositing compensation under subsection (1) of section 14
shall furnish therewith a statement in Form 23 in Schedule A.
(2) If, in the statement abovf 'e .t'-.red to. the ernplyor
indicates that e d too be made a party to to th distribu-
tion proceedings, the magistrate shall, before allotting the








sum deposited as compensation, afford to the employer an
opportunity of establishing that the person to wvhom he
proposes to allot such Isum is not a iependant of the deceased
workman, or as the case may be, that no one of such persons
is a dependent.

(3) Any dependent, whether notice under subsection
(5) of section 14 has been published (o not. may apply to
the magistrate for the payment out or distribution of any
sum so deposited.
(4) The statement of disbursements to be furnished on
application by the employer under sublsection (5) of section
14 shall be in Form 24 in Sch ddule A.
34. DEPOSITS. An employee delositing compensation
in accordance with subsection (2) or subsection (3) of sec-
tion 14 shall furnish therewith a statement in Form 25 in
Schedule A.

PART V.
Medical Referees.
35. REFERENCE BY COURT TO M IDICAIL REFEREE FOR
REPOPT UNDER SECTION 36(2) (i). (1) before making any
reference to a medical referee undorl parau'raph i) of subsec-
tion (2) of' section 3i, the court shi:ll be satisfied after
hearing all the medical evidence te:ii,,reld Iy either side,
that such evidence is either conflictiti,- or insufficient on
some matter which seems material to a (iestiton arising in
the proceedlinis, and that it is desiral) to obtain a report
front the medical referee on such matter.

(2) Every such reference shall be made in writing and
shall state the matter on which the report (f' the medical
refeoreae is required, and the question arising in the proceed-
ings to which such matter seems to be material. Such
reference sh ill be in acniltiieceo with Form 2(i in Schedule
A or as near thereto as may be.

(3) The reference shall be accompanied by a general
statement of the medical evidence given on behalf of the
part ies.

(I) On making a reference to the medical referee the
court shall make an order in Form 27 in Schedule A direct
ing the workman to submit himself for examination by the








medical referee and the medical referee shall on receipt of
the reference appoint a time and place for the examination
of the workman and send him notice accordingly.
(5) Before making an order as required by paragraph
(4) of this regulation, the court shall inquire whether the
workman is in a fit condition to travel for tlhe purpose of the
examination, and if the court, is satisfied that he is in a fit
condition it shall by the same order direct, him to attend at
such time and place as the medical referee mnay fix and it
shall be the duty of the work man to obey any such order.

(6) If the court is satisfied that the workman is not in
a fit condition to travel this fact shall be stated in the
reference.

(7) The medical referee shall give his report in writing
and shall forward it to the magiistrate from hoiom he
received his reference.

36. REFERENCE TO A MEDICAL REFEREE UNDER
SECTION 47(2). (1) Where a magistrate refers a matter to
a medical referee under subsection (2) of section 47, he shall
issue a reference to the medical referee in Form 28 in
Schedule A and the medical referee shall forthwith on
receipt of such reference fix a time and place for the exam-
ination of the workman and shall send notice accordingly
to the workman and the employer.
(2) Before giving the certificate required by the refer-
ence the medical referee shall personally examine the
workman and shall consider anv statement that may be
made or submitted by either party.
(3) The certificate given by the medical referee shall
be according to Form 2o. in Schedule A and shall be for-
warded by him to the magistrate from whom he received
his reference.
37. RIEFEIENCES To MNlDiCAL REFEREE TO BE SIGNED.
Every reference to a medical referee under regulation 35 or
regulation 36 of these Regulations shall ie signed by the
magistrate by whom it is issued.
38. NOTICES TO BE ISSUED BY MEUIJCAL REFEIhE.
The notice to be issued by a medical referee to-
(a) a workman as re quired by paragraph (4) of
regulation 35;








(b) a workman as required by paragraph (1) of
regulation 36;

(c) an employer as required by paragraph (1) of
regulation 36,

shall be in Forms 30, 31 and 32 respectively in Schedule A.

39. REMlUNEIlATION AND EXPIeNSES OF 11 EDI) CA L
REFEREE. The remuneration of and other expenses incurred
by a medical referee which are required to be paid under
section 10(3) shall be as set out in Part I of Schedule B.


PART VI.

Supplemental Provisions.
40. STATEMENT OF TSAGES TO, BE FURNISHED BY
EMPLOYER. Where any proceeding is taken or is about to
be taken for the determination of any qtustion arising out
of an accident in which compensation is or might be claimed,
the employer shall, it required by the workman, furnish the
workman, within seven days from tlh date of requisition,
within a statement showing:-

(a) the total wages which have fallen due for
pavymient to the workman by the employer in the last
twelve months, where the worknmi.n has been employed
during a continuous period of not less than twelve
months immediately preceding the accident; or

(h) the total wages earned inl respect of the last con-
tinuouts period-t of service, whl-re ltat ocrvice is of less
than twelve months duration imoni diatelv preceding the
;n1ciient.
41. lii GasTATrloN OF EMPLOYE s. (1) The form of
applilltion for rcgistration required by section 2(6(l) for
employers to whom section 24- applies shall be according to
For'm 1 in Part II of Schedule B.
(2) The Labour Commissioner siall, upon receipt of an
;)pplic;lition muafde under paragraph (1) of tai1 regulation and on
being satisfied that the particulars cointaiin'd in the application
arc correct, issue to the employer a certificate of registration
as in Form 2 in Part 11 of the said Schelule B,








42. SOLICITORS' COSTS AN) ALLOWANCEI8 TO PARTIES
AND' WITrNESSES. (1) Any costss of or incident to any proceed-
ings for the determination of any question arising out of an
accident to a workman shall be awarded in accordance with the
scale of costs for solicitors and allowances for parties and
witnesses in Part III of Schedule B.

(2) The fees allowable under the said scale of costs shall
include and cover all costs whatsoever incident to.the proceed-
ings, except fees of court and necessary disbursements.

43. MEnDICAL P iR C TITIONERt S' FEES. The fees
required to be paid under section 6(2) (a) to a medical
practitioner who renders emergency treatment to an injured
workman shall be as specified in Part IV in Schedule B.

44. CoulT FEES. The fees of court specified in Part
V in Schedule B shall be paid in respect of proceedings
brought under the Ordinance.

45. MODIFICATIO s OF FoMNis. Where the forms in
Schedule A are not applicable, forms of the like character,
with such variations as the circumstances may require, may
be used in proceedings under the Ordinance.

46. COMnIENCEMENT. These Regulations shall be
deemed to have come into operation on the 1st day of ,lanuary,
1957.

Made by the Governor in Council this 23rd day of
January, 1957.
F. A. CLARKE,
Clerk of the Council.








*,'li LD)ULE A. 3.
Form 1.
Application for Compensation by Workman or by Employer.
ANTIGUA.
IN THE MAGISTRATE'S (CURT, DISTRICT
In the Matter of the Workmen's Compensation
Ordinance, 1956
AND
In the Matter of an Application by a Workman
for Compensation.
Between
A.B. residing at Applicant.
and
C.)D. residing at lResp ,ndenf.

'iThe applicant. a workman employed by
(a contractor with) the Relspon(iit (or, the appclic;nnt is !he
employer of the abveenamd l(ispnh dent, a workman who)
sustained personal injury bvy aci(ici t ~riiilg out of a ld in ile
course of his employment on thl lday of
at and applies herein for the det(rmiination
of the questions hereinafter stated under the provisions of the
Workmen's Compensation Ordinance. 1956.
Particulars,
1. Place of business and nature
of business of Respondent.

2. Nature of employment of
workman at tinim of accident, ami
whether employed under opposite
part or uder c ontr ictor, with
him. (If employed under a con-
tractor who is not a respondent.
name and place of business of con-
tractor to be stated.)

3. Date and place of accident.
nature of work on which workman
was then engaged, and nature of
accident, and cause of injury.


1. Nature of injury.








5. Particulars of incapacity for
work, whether total or partial, and
estimated duration of incapacity.

6. Monthly wages during the 12
months previous to the injury, if
applicant has been so long employed
under the employer by whom le was
immediately employed, or if not,
during any less period during which
he has been so employed.

7. Monthly amount which the
applicant is earning or is able to earn
in some suitable employment or
business after the accident.

8. Payment, allowance or benefit
received from employer during the
period of incapacity.

9. Amount claimed as compen-
sation.

10. Date of service of statutory
notice of accident on employer, and
whether given before workman
voluntarily left the employment in
which he was injured. (A copy of
the notice to be annexed.)

11. If notice not served, reason
for omission to serve same.

12. (a) The names and addresses
of the applicant and his attorney or
agent are:
of the applicant
of iiis attorney or agent
(b) The name and address of
the respondent to be s -rved with
this application are:

13. Date of claim for compen-
sation,








(Quiestions for the deterniinn t it of the Court--


(a) whether the applicant is a workman within
the meaning of the Ordinance:
(b) whether the accident arose out of and in the
course of the workman's employment;

(c) whether the amount of compensation claimed
is due, or any part of that amount:
(d) whether the respondent is liable to pay such
compensation as is due;
(e) ................. (as required)

Dated the day of 19

Applicant
or (Attorney or agent for Applicant
residing at ).
(If application is made by an employer append or annex here
statement required by sect ion 37(2) of the Ordinance.)

Notice.

To of
You are hereby required if you intend to opp< se the above
application to lodge with me the undersiinced clerk within seven
days after the service of this notice upon \ onU (or within such
extended p-riod i:s the nmaiistrate may allow) a written answerr
to the application containing a concise statement of the extent
and grounds of your opposition thereto.

The above application will be heard at the MA:igistrate's
Court, District at on
tlhe (day of at o'clock in
the noon and your are hereby notified that if you fail to
lodge such answer within the time herein prescribed, or to
appear at the time and place herein stated for the hlari'ni of
the application such order may be made against you as may be
just and expedient.
Clerk,
M.,gistrate's Court, District








Form 2. Reg 3.
Application for Compensation by Dependants or by Emr.oyer.
ANTIGUA. %
IN THE .1 ,1 I: l .' ;;'S COURT. DISTRICT
In the Matter of the Workmen's Compensation
Ordinance, 1956
AND
In the Matter of an Application for Compensation
by Dependants.
Between:
A.B. residing at Applicant.
and
C.D. residing at Respondent.
The applicant is the legal personal representative (or the
dependant) of a workman employed by (a contractor with) the
respondent (or, The applicant was the employer of a workman)
who sustained personal injury by accident arising out of and in
the course of his employment on tlhe day of
at resulting in his death, and applies herein for
the determination of the questions hereinafter stated under the
provisions of the Workmen's Compensation Ordinance, 1956.
Particulars.
1. Name and late address of
deceased workman.

2. Place of business and nature
of business of employer from whom
compensation is claimed.

3. Nature of employment of
deceased at the time of accident, and
whether employed under the allteed
employer or under a contractor with
him. (If emplo yed under a con-
tractor who is not a reim'poinient,
name and place of business o' coun-
tractor to be stated).

4. Date and place of accident,
nature of work on which 1 *... -I
was then engaged, nature of accident
and cause of injury, and agi6 of
d'eea.- .l at time of death.








5. Nature of injury to deceased,
and date of death.
6. Morithly wages during the 12
months previous to the injury, if
the applicant has been so long
employed under the employer by
whom he was immediately employed,
or if not, during any less period
during which he has been so em-
ployed.
7. Amount of weekly or half-
monthly payments (if any) made to
the deceased under the Ordinance
and of any lump sumn paid in
redemption thereof.
S. Character in which applicant
applies for compensation, i.e.,
whether as legal personal representa-
tive of dccea.il or as a dependent.
and if as a defendant particulars
showing how lie is so.
9. Particulars as to defendants
of deceased by whom or on whose
behalf the application is made, giving
their names and addresses, aiid
descriptions and occupations (if any)
and their relationships to the de-
ceased, and if infants, their respec-
tive ages. and stating whether they
were wh!llyv 'r partially dependent
on the earnings of the deceased at
the time of his death.

10. Particulars as to any person
*1liIuTuibi, or \xlho may be entitled to
claim to be defendants, but ais to
whose claim a question arises, and
who are therefore made respondents,
with their names, addresses, and
descriptions and occupations (if any).

11. Particulars of amount claimed
as compensation, and of the manner
in which the applicant claims- to
have such amount apportioned and
applied,








12. Date of service of statutory
notice of accident on employer and
whether given before deceased
voluntarily left the employment in
which he was injured. (A copy of
the notice to be annexed).

13. If notice not served, reason
for omission to serve same.

14. (a) The names and addresses
of the applicant and his attorney or
agent are:
of the applicant
of his attorney or agent
(b) The name and address of
the respondent to be served with
this application are:
Questions for the determination of the Court:-
(a) whether the il'pli.'.iit is a workman within
the meaning of the Ordinance;
(b) whether the accident arose out of and in the
course of the workman's employment;
(e) whether the amount of compensation claimed
is due, or any part of that amount;
(d) whether the respondent is liable to pay such
compensation as is due;
(e) whether the applicant(s)is dependant(s)
are
of the deceased;
(f) how the compensation when deposited,
should be distributed;

() ............................... (as required)
Dated the day of 19
Applicant.
or (Attorney or Agent for Applicant
residing at ).
(If application is made by an employer append or annex here
statement required by section 37(2) of the Ordinance.)






23

Notice.
To of
You are hereby required if you intend to oppose the above
application to lodge with me the undersigned clerk within
seven days after the service of this notice upon you (or within
such extended period as the magistrate may allow) a written
answer to the application containing a concise statement of the
extent and grounds of your opposition thereto.
The above application will be heard at the MfTgi-trat-'s
Court, District at on
the day of at o'clock in the
noon and you are hereby notified that if you fail to
lodge such answer within ihe time herein prescribed, or to
appear at the time and place herein stated for the hearing of
the application such order may be made against, you is may be
jur, and expedient.
Clerk,
Magistrate's Court, District

Form 3. Reg. 5(a).
Application for Compensation by an Injured Master, Seaman, or Apprentice.
A NTIG UA.
IN THE MAGISTRATE'S COURT, DISTRICT
In the Matter of the Workmen's Compensation
Ordinance, 1956
AND
In the Matter of an Application by an Injured Master,
Seaman, or Apprentice for compensation.
Between:
A.B. Alpplicant
and
The Owners of the ship Respondents.
1. On the day of personal injury by
accident arising out of and in the course of hiis employment
was caused to A.B. the master of the ship
" [or a seaman, or an apprentice to the sea
service] and a member of the crew of the ship "
2. A question has [or questions have] arisen
(here state the questions, specifying only those which
have arisen; e.g.)-
(a) as to whether the said A.B. is a
workman within the meaning of the abovementioned
Ordinance; or








(h) as to the liability of the owners of the said ship
to pay compensation nder the abovementioned Ordinance
in respcr of the said ilnjry: or

(c) as tc- the amount (or duration) of the compensa-
sation payable by the owniwrs of the said ship to the said
A.B. under t!e abovementioned Ordiinance
in respect of the said injury.
(or as lhe case mayv be).
An. An inquiry under the abovementioned Ordinance is
hereby) repqiswic bcetwvi-n the -aid A.P. and the
owners of ite ids ii ship for tci settlement of the said question
(or q('cstiona).
-1. Particular's are hereto appended (or annexed).

Particulars.
1. Name and address of applicn:t.
2. X Ir' of ship of which applicant
was master (or of the crew of
which iap plicnt wa;s a member)
at rihe time of accident, and
port of regi-try.
3. Such ot her particulmrs as n re contained in pti'agraphs
2 to 11. in Form 1 of this Schedule as tmay be
applicable.
The names and addresses of the applicant and
his solicitor are:
Of the Applicant,
Of the Solicitor,
!'ir name and address of the person to be served
with this application as representing the owners of
the ship are;
(State name and address of managing owner or
manager, or of master of ship. See reg. 5(e) ).

Dated this day of 1.9

or ( 1 / 'i. 's Sol'7'. or)
or (Ai'/.m ''s Solicitor).








Notice.
To of
You ;are hler-by rcluired if you intend to oppose the
above appllicntion to lod ce with me the undlr.-i ii. clerk
within .~t\ven daiv- after the service of this notice upon you
(or within such extended period ;s the magistrate mlay allow)
a written answer 10 the application containing a concise state-
ment of the extent and grounds of your opposition thereto.
The above application will be heard at the Magistrate's
Court, Distri.t at on the
day of at o'clock in the noon
and youn Iar' hereby noitiied that if voni fail to lodge such
answer within the time herein prescribed or to appear at the
time and place herein state for the hearing of the application
such order may be nmadte against you as may be just and
expedient.
Clerk,
'.l .-i state's Court, District

Form 4. Reg. 5(b).
Application for compensation by or on behalf of Depen-
dants of Deceased Master, Seaman, or Apprentice.
ANTIGUA.
In tihe Milaiistranc's Court, District
In the Matter of the W'o kmen's Compensation Ordinanice, 1956.
and
In the Matter of an Application by or on behalf of Dependants
of I)eceasedt Master, Seaman, or Apprentice.
Between
E.F. Applicant
and
The Owners of the ship Respondents.
and
G.B.
(or as the case may be; see Reg. 4)
1. On the day of personal injury by acci-
dent arising out of and in the course of his employment was
caused to A.B. late of deceased,
the master of the ship (or a seaman, or an
apprentice to the sca service) and a member of the crew of the
ship and on the day of








the death of the said A.B. resulted from
the injury.
OR
1. The ship which left the port of
on or about the day of ,
wns lost with all hands on or about the day of
(or was last heard of on or about tile day of
and is believed to have been lost with all hands).

2. A question has (or questions have) arisen
(here state the questions, specifying only those which
have arisen, e.g.)-

(a) as to whether the said A.B. was a
workman within the meaning of the abovementioned
Ordinance; or
(b) as to the liability of the owners of the said ship
to pay compensation under the abovementioned Ordinance
to the defendants of the said A.B. in respect
of the injury caused to them by the death of the said
A.B. ; or

(c)- as to the amount of compensation payable by the
owner of the said ship to the defendants of the said A.B.
under the abovementioned Ordinance in
respect of the injury caused to them by the death of the
said A.B. ; or

(d) as to who are dependants of the said A.B.
within the meaning of the abovementioned Ordinance; or

(e) as to the apportionment and application of the
compensation payable by the owners of the said ship to the
dependents of the said A.B. in respect of the
injury caused to them by the death of the said AB.
(or as the case may be).

3. An inquiry under the abovementioned Ordinance is
hereby requested between E.F. the legal personal
representative of the said A.B. (or between E.F.
a dependent of the raid A.B. ) and the owners of
the said ship, and G.B. who claims or may be
entitled to claim as a defendant of the said A.B.


4, Particulars are hereto appended (or annexed).








Particulars.
1. Name and address of master,
seaman or apprentice.
2. Name of ship of which deceased
was master (or of the crew of
which deceased was a member)
at time of accident or loss of
ship, and port of registry.
3. Such eitherr particulars as are contained in paragraphs
3 to 13 in Form 2 of this Schedule as may be
applicable.
The names and addresses of the applicant and
his solicitor are:
Of the Applicant,
of his Solicitor,
The names and add. esses of the respondents to
be served with this application are:
As repre en ing the owners of the ship
(State name and address of managing owner or
manager, or of master of ship. See reg. 5(6) ).
and G.B.
Dated this day of
Applicant,
or (A i,.'' a, :'s." Solicitor).
Notice.
To of
You are hereby required if vyou intend to oppose the above
application to lodge with mr the unidersiigned clerk within seven
days after the service, of this notice upon you (or within such
extended period as the magistrate may allow) a written answer
to the application containing a concise statement of the extent
and grounds of your opposition thereto.
The above application will be heard at the Magistrate's
Court, District at on the
day of at o'clock in the noon and
you are hereby notified that if you fail to lodge such answer
within the time herein prescribed, or to appear at the time and
place herein stated for thie hearing of the application such order
may be made against you as may be just and expedient..
Clerk,
F.lc *-...:,t,,'s Court, District









Form- 5. Reg. 8.

Notice of Claim.
ANTIGUA.
In the Magistrat:e's Court, District

In the Mattcr of the \Workmen's Compensation Ordinance, 1956

and

In the Matter of an Application by for compensation.

Between
A.B. Applicant
and
C.D. Respondent.

Whereas a claim fo,' compensation has been made to the
magistrate by applicant, against
and the said has claimed that you are liable
under section 25(2) to indemnify him against any compensation
which he may be liable to pay in respect of the aforesaid
claim, you are hereby informed that young may appear before
the magistrate at o'clock on the day of
at and contest the claim for compensation made
by the said applicant or the claim for indemnity made by the
respondent. In default of your appearance you will be
deemed to admit the validity of any award made against the
respondent and your liability to indemnify the respondent for
any compensation recovered from him.

I hereby require you to file with me the undersigned clerk
a written statement dealing with the claim against you in the
above application within ten days after thle service thereof on
you.
And further take notice that if you fail to forward such
statement in writing, an order may be made against you in
default,

Dated this day of 19

SClert ,
1agr itrate's Court, District








Form 6.


ANTIGUA.


Reg. 11


Notice of Hearing


In the IM gistrate's Court, District

In the M;rr-.r of the Workmen's Cumpensation Ordinance, 1956

and

In the Matter of an Application by a Workman for Compensation.


Between

and


A.B.

C. ).


Applicant

Respondent.


Take notice that the Magis4tra e, Distiict
proceed with the hearing of the applic;ition in
at on the day of
hour of o'clock in the noon.


Dated this


day of


will
this matter
at the


19


Clerk,
Magistrate's Court, District


Notice of Hearing to be sent to Respondent.


Take notice that the -Ma:gitrit., will proceed with the
hearing of the application in this matter at on the
day of at the hour of o'clock in the
noon, and that if yon do not attend at the time and
place abovementioned such order will be made and proceedings
taken as the Magistrate may think just and expedient.


Dated this


day of


19


Clerk,
Court, District


~1'.~'' i~tl'R tr'tR









Fcorrn 7. leg. 15(3)
Order.
In case of application for weekly or half-monthly
payment of compensation.
ANTIGUA.
In the Magistrate's Court, District
In the Matter of the Workmen's Compensation Ordinance, 1956
and
In the A1M:atr of an Application by a Workman for Compensation.
Between
A.B. Applicant
and
C.D. Respondent.
Upon the application of and upon
hearing
(Here insert any other introductory recital of
findings on which the order is made which
the Magistrate may think fit.)
It is ordered as follows:-
1. Trvat the respondent C.D. do pay to the
applicant A.B. the weekly (or half-monthly)
sum of $ as compensation for personal injuries caused
to the said A.B. on the day of by injury
arising out of and in the course of his employment as a
workman employed by the said respondent, such we,'kly (or
half-monthly) payment to commence as from the day of
and, to continue during the total or partial incapacity
of the said A.B. for work, or until the same shall be ended,
diminished, increased or irdeemed in accordance with the
provisions of the Ordinance.
2. And that the said C.1). do forthwith pay to the said
A.B. the sum of $ being the amount of such weekly
(or half-mointhly) pa mCnts calculated from the day of
until,tthe day of and do thereafter
pay the said sum of $ to the said A.B. on the
and days of each month.
3. And tht the s:id C.I). do p-y to the applicant his
costs of andi incidental to this application lixed at the sum of
S(or to be taxed in accordance with the proper scale).
Dated this day of 19
Magirtrate, District








Form 8. R- 1. 15(3)
Order.
In the case of Application by Dependants.
ANTIGUA.
In the M1giLtrante's Court, District
In the Matter of the W'orkiien's Comipernition (Ordinance, 1956
and
In the Matter of an Application by Dependants.
Between
A.B. Applicant
and
C.D. Respondent.

Upon the application of and upon hearing
(Here insert any other introductory recital of
findings on which the order is made which
the Magistiate may think fir.)
It is ordered as follows:-
1. That the respondent C.D. do pay the sum of $
to the dependants of A.B. late of deceased, as
compensation for the injury resulting to such defendants from
the death of the said A.B. which took place on the day
of from the injury caused to the said A.B. on
the day of by accident arising out of and in the
course of his employment as a workman employed by the said
respondent.
2. And it is declared that the persons hereinafter named
are entitled to share in such compensation' nas defendants of the
said A.B., that is to say J.B. widow of the said A.B.
and (name the other persons).
3. (Add if so found) and it is declared that G.H. the
of the said A.B. is not entitled to share in
such compensation as a dependent of the said A.B.
And it is further ordered:-
4. That the said sum of $ be apportioned
between the said J.B. and in the proportions
following, that is to say:-
The sum of $ t, and for the benefit of
the said J.B. and the sum of $ to and for the
benefit of the said








5. That the said C.ID) do pay the said sum of $
within 14 days from the date of this order.
6. That the said J.B. and the said or
any of them be at liberty to apply to the M;i;,itre from time
to time for any further or other order as to the application of
any of the said sums which may be ordered to be invested and
the accruing interest thereof.
7. That the said C.I) do pay to the applicants their
costs of and incidental to this application fixed at the sum of
$ (or to be taxed in accordance with the
proper scale).
Dated this day of 19

Magistrate, District
Form 9. ieg. 15(3)
ORDER
In the case of Application by Persons to whom Expenses of medical
attendance and burial are due.
ANTIGUA.
IN THE MAGISTRATE'S COURiT, DisTRI('T
In the Matter of the Workmen's Compensation
Ordinance, 1956
AND
In the Matter of an Application by persons to whom
expenses of medical attendance and burial are due.
Between
A.B. Applicant
and
(. Respyondent.

Upon the application of and upon
hearing
(Here insert any other introductory recital of findings
,on which tIhe other is made w which the M'il.istrale
may think fit).
It i. ordered as follows:-
i. That the respondent C.D. do pay the sum of $
for or towa.,'m the expensess of medictiel attendance and burial of
A.B. late cf deceased, wih died on the
day f from injury caused on the
day of by accident arising out of and in
the course of the employment of the said A.B. as a workman
employed by the said C.D.








2. And it is declared that the prsoins hereinafter named
are entitled to share in such compensation, that is to say:-
The applicant E.F. in respect of charges ;nmountiig
to $ due to (or pnyable by) him for medical
attendance and burial or the said A.B.
Dated this day of 19
Magistrate, District
Form 10. Reg.
Application for Order for Detention of Ship.
IN THE SUPREME COURT OF THE \l-ND\WAlD ISLANDS ANI)
LEEWARD ISLANDS.
Antigua Circuit.
In the Matter of the Workmen's Compensation
Ordinance, 1956
The Ship "
Application is hereby made on behalf of
of who alleges that the owners of the ship
" which has been found in the port of
(or within three miles of ihe coast of the (Co]ln,),
are liable to such owners to pay compensation under the ahbove-
mentioned Ordinance, in respect of personal injury by nbccident
arising out of and in the course of his employment caused to
of on the da;y of
in the prt (or harbour) of
and who claims compensat ion in respect oif such iju ry, aitn
alleges that none of the owners of tlih .-aid ship reside inl the
Colony for an order directed to ;n officer of (ustoims or otier
officer nained by the judge, requiring him to (detain tle faidl
ship until sucht time as to the owners, agent, insist, 1 or
consignee thereof have paid such compensation, or ha\'e iiv\cll
security, to be approved by the judge, to abide the event of any
proceedings that may be instituted to recover such comlpei ( ni tic,11
and to pay such compensation and cos.Is as may be :awrinded
thereon, or until the said ship shall be ot!:erwise relens'ld by
due course of law.
The grounds on which this application is inm-de :ir set
forth in the affidavit of filed herewith (or will be
given in evidence on the hearing of the application).
Dated this day of
(Name and address of Applicant or
Applicant's Solicitor).








Form 11. Reg. 23(3)
Undertaking as to Damages.
IN THE SUPREME COURT OF THE WINDWARD ISLANDS AND
LEEWARD ISLANDS,
Antigua Circuit.
In the Matter of the Workmen's Compensation
Ordinance, 1956

The Ship "

1, the undersigned of
hereby undertake to abide by any order wiic,!h may hereafter be
made as to damages, in case any person afftcl'd by the order to
be made on my application for the detention of the ship
" shall sustain any damages by reason of
such order which I ought to pay.

Dated this day of 19

(Signature and Address of Applicant).
(To be altered as required, if the undertaking is given by
by any person other than the applicant).

Form 12. Reg. 23(4)
Order for Detention of Ship.
IN THE SUPREME COURT OF THE \WINDWARD) ISLANDS AND
LEEWARD ISLANDS,
Antigua Circuit.
In the Matter of the Workmen's Compensation
Ordinance, 1956.

The Ship "
Whereas it is alleged that the owners of the ship
"L are liable as such owners to pay compensation
in respect of personal injury by accident arising out of and in
the course of his employment caused to of
in the port (or harbour) of
And that the said ship has been found in the port of
(or within three miles of the coast of the
Colony








And whereas it has been shown to me, on the application
of of who claims
compensation in respect of such injury, that the owners of the
said ship are probably liable is such to pay such compensation,
and that none of the owners reside in the Colony:
(And whereas the said has filed an under-
taking to abi de by any order which may hereafter be made as
to damages, in case any person affected by this order shall
sustain any ,damages by reason of this order which the said
ought to pay):
Now I do hereby issue this order directed to you, the
Collector of Customs at (or other officer
named by the judge) requiring you to detain the said ship
until such s ; as thie ,'wners, agent, master or consignee
thi~reof have paid compensation in respect of the said injury, or
have given security in tle sumi of $ to be
approved by hle judge, to abide the event of any proceedings
that may be instituted to recover such compensation, and to pay
such compensation and costs as may be awarded thereon, or
until the said ship shall be otherwise released by due course
of law.
Dated this day of

Judge.
To the Collector of Customs at
(or other officer named by tlhe judge).

Form 13. Reg. 23(6).
Bond by way of Security.
IN THE CUJI'EME CO(UIT IF THE WINDWARD ISLANDS AND
LEEWARD ISLANDS.
Antigua Circuit.
In the Matter of the Workmen's Compensation
Ordinance, 1956.

The Ship "
Whereas it is alleged that the owners of the ship
" are liable as such owners to pay compensation
in respect of ,personal injury by accident arising out of and in
the course of his employment caused to
of in the port (or harbour) of








And whereas the judge of this Court has issued an order
directed to the. Collector of Customtn at (or
other officer named by the judge), r.. piring him to detain the
said ship until such time as the owners, agent, master, or
consignee thereof have paiid colntpens:ition in respect of the said
injury, or have given security in the sum of $ to be
approved by the judge, to abide the event of any proceedings
that may be ins it.ted to recover such compensation, and to pay
such compensation and costs as may be awarded thereon, or
until the said ship shall be otherwise' released by due course
of law:
Now, thereof, we (state names, addresses, and descriptions
of sureties) jointly and severally submit ourselves to the
jurisdiction of this Court, or the Colony in which any proceedings may be instituted in
respect of the said injury, and consent that if the owners, agent,
master, or consignee of the said ship shall not pay all such
compensation and costs as may be awarded thereon execution
may issue forthwith against us, our heirs, executors and adminis-
trators, goods and chattels, for a sum not exceeding
dollars.
(Signature of Sureties)
This bail bond was signed by the said
and the sureties, the day of

Before me,
Registrar of the Supreme Court.
Form 14. Reg. 23(7)
Order of Release.
IN THE SUPREME COURT OF THE WINDWARD ISLANDS AND
LEEWARD ISLANDS.
Antigua Circuit.
In the Matter of the Workmen's Compensation
Ordinance, 1956.
The ship "
You are hereby authorised and directed to release the ship
" now under detention by virtue of an
ord, r m;!de on the day of upon the payment
of all costs, charges aid expenses attending the custody
thereof.
Dated this day of
Judge.
To the collectorr of Customs at
(or other officer named i'i
the order for detention).









Solicitor's Undertaking to give Security.
IN THE Sul :EME COURT OF THE \WINDWAIRD ISLANDS AND
LEEWARD ISLANDS,
Antigua Circuit.
In the Matter of the Workmen's Compensation
Ordinance, 1956.
The ship "
Whereas it is alleged that the owners of the ship
" are liable as such owners to pay compensation
in respect of personal injury by accident arising out of and in
the course of his employment caused to of
in the port (or harbour) of
Now, therefore, I, L.M. of
solicitor for the owners (agent, master or consignee) of the said
ship, hereby undertake within days from the date
lw.reof to give security in the sum of $ to be
approved by the judge, to abide the event of any proceedings
that may be instituted to recover such compensation and to pay
such compensation and costs as may be awarded thereon.
Dated this day of
(Signed) L.M.
Form 16. Reg. 23(9)
Application for Compensation where Security has been given on behalf
of the Owners of a ship under section 34.
ANTIGUT .
IN TH!il MAGISTRATE's (COURT, DISTRICT
In the Matter of the Workmen's Compensation
Ordinance, 1956.
ANiD
Ir the Matter of an Application for Compensation where
Security has been given on behalf of the Owners
of a ship under section 34.
GBetleeit
A.B. Alii.'at
and
(Name and addresses of persons giving security) Respondents.
1. On the day of personal injury by
accident arising out of and in the course of his employment
was caused to A.B. of and the said A.B.
claims that the owners of the ship are liable
under the abovementioned Ordinance to pay compensation in
respect of the said injury.


Form 15.


Reg. 23(8)(b)









2. The respondents have given security to abide the
event of any proceedings th-lt mayv b, inst ituited in respect of
the said injury and to pay iil <:mi!,nsat.io>n an1i co be awarded thereon,

3. A question has (or questions have) arisen
(here state the questions, specifying only those which
have arisen; e.g.)--

(a) as to whether the said A.B. is a work-
man to whom the abovementioned Ordinance applies;
or

(b) as to the liability of the owners of the said
ship to pay compensation under the abovementioned
Ordinance in respect of the said injury; or

(c) as to the amount (or duration) of the
compensation payable to the said A.B. under the
abovementioned Ordinance in respect of the said
injury (or as the case may be)

4. An inquiry under the aibovemetntioned Ordinance is
hereby requested between the s:id A.B:. and the respondents
for the settlement of the said que-tion (or questions).

5. PIarticulars are hereto appended (or annexed).

Particulars.

(Here insert particulars of circumstHanes under which the
appli actionn is made, ind of the relief or order which
the appllicant claims, atdapting the particulars to the
circumstances of the case).

The nimees nd addresess, etc. (as in Form 2A).

NOr E: This foumi to he adait* ail rei iuirpdo to an application for
co'npensationl as lx't weii the tidehpnd:its olf a deceased
workman and theo persons giving sfcuritN,








Form 17,


Reg. 24.


I. ir-iriduln of Agreement In case of a non-fital
injury to workman by accident.
A aTIG UA.
In the MI:gistrate's Court, District
In the :lirrt.-r of the Workmen's Compensation Ordinance, 1956,
and
In the \I irt r of an Agreement
Between
A.B. A)pplicant
and
C.D. Respondent.
1. Be it remembered, that on the day of
personal injury was niiused at to the abovenamed
a workman under no legal disability,
(or a minor of the age of vears) by accident arising
out of :nd in the course of his employment.
2. (Here insert the like particulars as in Form 1).
3. An that on the day of the follow-
ing agreement was come to by and between the said
and the said that is to say:
(here set out terms of agreement)
4. (If a medical referee has been appointed to report, add)
A. copy of the report of Mr. a medical referee
appointed to report in the abovementioned nmtter is hereunto
annexed.
5. You are hereby requested to record this memorandum,
pursuant to section 21 of the abovementioned Ordinance.
Pa1 ted
Signature of Employer
Witness
Signature of Workman
Witness
Note: An application to record an agreement can be
presented under the signature of one party only
provide at that the other party has agreed to the
tetnrms. Both signatures should be apIpended,
whenever possible.
To thle Clerk, Magistrate's Court, District








Form 18. Reg. 24
Memorandum of Agreement Where death resulted
from the injury to the Workman.
ANTIGUA.
In the Magistrate's Court, District
In the Matter of the Workmen's Compensation Ordinance, 1956
and
In the Matter of an Agreement
Between
A.B. Applicant
and
C.D. Respondent.
1. Be it remembered, that on the day of
personal injury was caused at to
late of deceased, by accident arising out of
and in the course of his employment, and that on the
day of the said died as the result
of such injury.
2. (Insert here like particulars as in Form 2).
3. And that on the day of the
following agreement was come to by and between
the dependants of the said within the meaning
of the abovementioned Ordinance, and the said
that is to say:
(here set out terms of agreement)
4. (If a medical referee has been appointed to
report, add)
A. copy of the report of Mr. a medical
r. F.r.'O appointed to report in the abovementioned matter is
hereunto annexed.
5. You are hereby requested to record this memoran-
dum pursuant to section 21 of the abovementioned
Ordinance.
Dated
Signature of Employer
Witness
Signature of Workman
Witness
Note: An application to record an agreement can be
presented nnder the signature of one party only
provided that the other party has agreed to the
terms. Both signatures should be appended,
whenever possible.
To the Clerk, Magistrate's Court, District








Form 19.


Notice to Parties before Memorandum of
Agreement is recorded.
ANTIGUA.

In the Magistrate's Court. District

In the Matter of the Workmen's Compensation
Ordinance, 1956,

and


In the Matter of an


A application to record
of Agreement.


Memorandum


Between


A.IB.


C.T).


and


Applicant


Respondent


Whereas agreement to pay compensation is said to have
been reached between and

And whereas has/have applied to the
Magistrate for registration of the agreement under section
21(3) notice is hereby given that the said agreement will be
taken into consideration by the '1 i-'istrate at o'clock on
the day of at and that any
objection to the registration of the said agreement should
be made on the date and at the place aforesaid. In the
absence of valid objections it is the Magistrate's intention to
proceed to the registration of the agreement.


Dated


gitrts Court, District
Magi-trate's Court, District


Reg. 25








Form 20. Regs. 27 & 29
Application for review or redemption of weekly
or half-monthly payment.
ANTIGUA.
In the Magistrate's Court, District
fu tie Matter of the Workmen's Compensation
Ordinance, 1956,
and
In the Matter of an Application for review or redemption
of weekly or half-monthly payment.
Between
A.B. Applicant
and
C. D. Responded/.
Application is hereby made for the review (termination,
diminution, increase or redemption, as the case may he) of
the weekly (or half-monthly) payment payable to the said
in respect of personal injury caused to himi by
accident arising out of and in the course of his employment,
on at in the Colony of Antigua.
Particulars are hereto appended:-
PARTICULARS.
1. Name and address of injured workman.
2. Name and place of business of
employer by whom compensa-
tion is payable.
3. I)ate and nature of accident.
4. Amount of weekly (or half-
monthly) payment, and date
from which it commenced.
5. Relief sought by applicant,
whether termination, dimin-
nition, increase or redemp-
tion.
6. Grounds of application.

Dated this day of 19

Applicant.
To the Magistrate, District








Form 21. Reg. 30.

A application for Order for Payment to Defendant
or other person of weekly (or half-monthly)
pai meant payable to person under disability.

ANTI'rGUA.

In the Magistrate's Court, District

In the Matter of the Workmen's Compensation
Ordinance, '.> ;,

and

In the Matter of an Application for Order for payment to
defendant or other person of weekly or half-monthly
payment payable to person under disability.

Between
A. B. Applicant
and
C.D. Respondent.

Take notice that 1 (name and addresM of applicant)
intend to apply to the Magistrate, District on the day
of for an order that the weekly (or half-monthly)
payment payable in the abovementioned matter to
a person under legal disability (or to me) be during his
(or my) disability be paid to (name) a defendant or to
any other person best fitted to provide for the welfare of the
said (name of workman under disability) and for conse-
quential directions.

Dated this day of



Applicant.
To the Clerk, Magistrate's Court, District and to
(names of all parties interested).








Form 22. Reg. 31

Application for Variation of Order.
ANTIGUA.
In the Magit:rte's Court, District

In the Matter of the Workmen's Compensation
Ordinance, 1956,

and

In the lMtter of an Application for Variation of Order.

Between
A.B. .Applicant
and
C.D. Respondent.

Take notice that I (name and address of applicant)
intend to apply to the lMa'gitrate, District on the day
of for an order that the order of the Ilagiktrat,
made in the abovementioned matter on the day of
as to the distribution of the sum paid as
compensation among thle dependants of
deceased (or as to the manner in which the sum payable to
a dependant of deceased,
should hb applied or otherwise dealt with) may
be varied by directing (here state variation sought by
applicant) and for consequential directions.
And further take notice that the circumstances in
which this application is made are-
(state particulars)

Dated this day of



Applicant.
To the Clerk, Ilagi-ttrate's Court. District and
to (names of all persons interested.)








Form 23.


Deposit of Compensation for Fatal Accident.
ANTIG UA.


In the !Magistrate's Court, District


In the Matter of the Workmen's Cornpensaition
Ordinance, 1 956,

and

In the iM.i-,r of a Deposit of Compensation for Fatal
Accident.

Compensation amounting to $ is hereby
presented for deposit in respect of in juries r< snilltir in the
death of residiun at which
occurred on at

His monthly wages are estimated at
He was over/under 17 years at the time of his death.

The said workman had, prior to the date of his death,
received the following payments, namel:---


Dated


Amployer.


(To be added if
desired)


I desire to be made a party to the
proceedings for the distribution
of the aforesaid compensation.


(State name and addresses of dependants so far known).


ieg. 33.






46

Form 24. Reg. 33(4)

Statement of Disbursements.

ANTIGUA.
In the Magistrate's Court, District


In the Matter of the Workmen's Compensation,
Ordinance, 1956

and

In the Matter ol' a Statement of Dishursements.


Depositor


Amount deposited


Date


Funeral expenses paid

SCompensation paid to the follow-
ing dependants-

Name Relationship

; ..... ,oo.. o ......... ........., ...........



Total


Dated 19


S








Form 26. Reg. 34.
Deposit of Compensation for non-fatal Accidents.
A.NTIG UA.
In the Magistrate's Court, District
In the \atter of the Workmen's Compensation
Ordinance, 1956,
and
In the Matter of a Deposit of Compensation for non-
fatal Accidents.

Compensation amounting to i is herehb
presented for deposit in respect of permanent/temporary
injuries sustained by residing at
which occurred on

Dated 19


Employer.

Form 26. Reg. 35(2)
Reference to Medical Referee under section
36(2)(i).
ANTIGUA.
In the Magistrate's Court, District
In the Matter of the Workmen's Compensation
Ordinance, 19!56,
and
In the latter of a Reference to a Medical Referee.
Between
A.B. and Applican
and
C.D. Respondent
1 Magistrate, District having
heard the evidence tendered by both parties, hereby' certify
that in my opinion the medical evidence Oiven before me is
conflicting (or insufficient) on a matter which seems to me
to be material to a question arising in the abovementioned
application, and that it is desirable to obtain a report from a
medical referee on such matter, as follu.,.;








(A) On the day of personal injury
was (or is alleged to have been) caused to
(1) by accident arising out of and in the course
of his employment, under the following circumstances:-
(2)
OR in the case of an occupational disease to which the
Ordinance applies-
(A) On the day of the said
(1) was under section 23, certified to be disabled
by or suspended from his usual employment on account
of his having contracted, a disease to which the said section
applies, namely:-
(3)
(B) The matter on which I am satisfied that it is
desirable to obtain a report is-
(C) Such matter seems to be material to the
following question arising in the application, viz:-
I therefore appoint (4) one of the medical
referees appointed by the Governor for the purposes of the
abovenamed Ordinance, to examine the said (1)
on the matter specified above, and to report to me.
A statement of the medical evidence given before me is
appended.
I am satisfied that the said (I) who is now
at is in a fit condition to travel for the purpose
of being examined, and he has been directed to attend on
the referee for examination at such time and place as shall
be fixed by the referee; or does not appear to be in a fit
condition to travel for the purpose of being examined.
The referee is requested to forward his report to the
Magistrate, District at on or before
the day of
Dated this day of
Magistrate, District
A previous reference wds made to a medical referee in
this case on the day of and a copy of the
report thereupon given is attached.
(1) Iusert name of lii.]n.i. 1 workman.
(2) Here state the facts of the accident as Hscertained from the
evidence.
(3) Name disease to which the section applies.
(4) Here insert name of medical referee,








Form 27. Reg. ;:(4.)
Order on Injured Workman to submit himself for
examination by medical referee.
ANrrTcUA.
In the Magistrate's Court, District
In the Matter of tle Workmen's Compensation
Ordinance, 1956,
and
In the Matter of an Order on Injured Workman to submit
himself for examination by 'l,,,ilcal referee.
To of
TAKE NOTICE that Dr. of
one of tl:e medical referees under the Workmen's Coimpen-
sation Ordinance, 19.5i, has been appointed to examine vyoi
for the purposes of the abovementioned matter and to report
(or issue his certificate)
You are hereby required to submit yourself for exam-
ination by such referee* and to attend for that purpose at
such time and place as may be fixed by him.
Dated this day of
Magistrate, District
Form 28. Ie". 36(1)
Order of reference to medical referee under section 47.
ANTIGUA.
In the Magistrate's Court, District
In the M:tirnt, of the Workmen's (ompenisation
Ordinance. 1956
and
In the Matter of a reference to a medicdil reflerre
Between
A.B1. Applicadl
and
C.D. Respond ni.
On the application of A.B. of and
C.D. & Co. Limited, of (a copy of ~hiche is
hereto annexed), I hereby appoint Dr. of
*Strike out from "and to attend when injured wotrkmwi does
not appear to be in a lit condition to travel,








one of the medical referees appointed by the Governor for
the purposes of tlhe Workmen's Compensation Ordinaince,
1956, to examine the said and to give his
certificate as to the condition of the said and
his fitness for employmenett, stating whether the said
has wholly or partially recovered from the injury (or occu-
pational disease) and specifying if necessary the kind of
employment for which he is fit [or his certificate whether
(or to what extent) the incapacity of the said is
tdue to the accident] [or his certificate as to the condition
of the said and his mitm'-s for employment,
stating whether the said has whollv or
partially recovered from the injury (or occupational dis ase)
and specifying if necessary the kind of employment for
which he is lit, and as to whether (or to what extent) the
incapacity of the said is due to the accidentJ.

Copies of the reports of the medical practitioners by
whom the said has been examined are hereto
annexed.
The said who is now at has
been directed to submit himself for examination by the
referee.
I am satisfied that the said is in a fit condi-
tion travel for Ihe purpose, of I'einii examined, and he has
been directed to attend on I he refer'e f'or examination at
such time and place as may be fixed by the referee.

(0 7? The said does not appear to be in a
fit condition to tr.ivel for the purpose of being
examined).
The referee is requested to forward his certificate to
the Magistrate at the1 Maiist!rate's Court, District
situate ;,t on or before the day of 19

Dated this ,d.i\ of 19

Mla istrate.

Nw'r: Where only on!- party is tie applicant this
form shall be used with tlhe necessary modi-
fications.








Form 29. Reg. 36(3)
Certifire:,,I of medical referee under section 47.
ANTTGUA.
In the MCu.gitriate's Court, District
In the Matter of the Workmen's Compensation
Ordinance, 1956,
and
In the Matter of a Certificate of medical referee.
In accordance with the reference made to me on (date
of Order of ik ference) by the Magistrate, District upon
the application of (name and address o'f party or parties)
I havo on the day of examined (name of
workman) and I hereby certify that:-
1. i lie condition of the said namee of workman)
is as follows:--
(Describe condition of workman, stating
whether he. his wholly or partially recovered-
see .footnote--froml tie injury by accident or
occuplatloional disease and stating whether workman
is lit for his ordinary or other work, specifying
where necessary the kind of work, or whether he
is unfit for work of any kind).
2. The incapacity of the said (name of work-
man) (State whether the incapacity has ceased or to what
extei., if any. the inc.ipacity is due to the accident or
occupational disease).
Dated this day of
Medical Referee.
FOOTN (OTE
Eitlier paragraph 1 or paragraph 2 to be tilled up, or
both to be tilled np. according, to thl terms of thie lReference.
In dealing with the question of recovery, if the referee
finds that the workman is no longer physically incapacited
for work as a result of the accident or of the attack of the
disease, but that the workman's condition is such that either
(a) there is a reasonable probability of the workman becom-
ing again incapacitated through' the effects of the accident
or through a recrudescence of thle attack of the disease, or
(,) there is, as a result of the attack, an increased suscepti-
hility to a fresh attack of the disease, the referee should
include a statement as to his findings.








If. the Order of Reference and the documents which
accompanied it show that the decision of the Referee is
desired as to othe workman's condition or fitness for employ-
ment (or as to whether or to what extent his incapacity was
due to the accident) at some date previous to the date of
the lieferee's examination (see section 13), the Referee
should deal with this point also, so far as he can.

Form 30. Reg. 38
Notice by Me rlical Referee to Injured Workman
under section 36 (2)(i).
Workmen's Compensation Ordinance, 1956.
ANTIGUA.
In the M-l,'-trate's Court, District
To of
I hereby give you notice that I have been appointed to
report on your case under section 36(2)(i) of the above-
named Ordinance, and that I propose to examine vou at
on the day of at o'clock,
and you are required to submit yourself for examination
accordingly.
Dated this day of
Medical Referee.
Form 31. Reg. 38
Notice by Medical Relerce to Workan, in case of a
referee under section 47(2).
Workmen's Compensation Ordinance, 1956
ANTIGUA.
In the Magistrate's Court, District
To of
I hereby give you notice that in accordance with the
Reference made to me in your case by the Magistrate, District
holden at under section 47(2) of the
abovenamed Ordinance, I propose to examine you at
on the day of at o'clock.
SAnd you are required to submit yourself for examination
accordingly.
Any statements made or submitted by you will be
considered.
Dated this day of
Medical i,4ee.








Form 32.


Reg. 38


Notice by Medical R'cferee to Enmployer in case of a
reference under section 47(2).
Workmen's Comprensation Ordinance, 1956.
ANTIGUA.
In the Magistrate's Court, District
To of
I hereby give you notice that in accordance with the
Reference made to me. by the Magistrate, District holden at
under secti n 47(2) of the abovenamed
Ordinance, in the case of (name and address of workman)
I propose to examine the said at
on the day of at o'clock.
Any statements made or submitted by you will be
considered.
Dated this day of
Medical RIeferee.
SCHEDULE B.


PART I.


Reg. 39


Remuneration and other Expenses of Medical Referee
Workmen's Compensation ordinancee, 1956.
$ cts.
(a) For examination of workman, issue of
certificate and all other duties perform-
ed by a medical referee in relation to a
i'ference under section 36(2) or section
47 10
(b) Where a medical referee has to travel a
distance of more than two miles from
his office or residence to examine a
workman pursuant to a reference a sum equal to
the travelling
allowances p aid
by Government to
officers in their
employment with
a minimum sum
equivalent to the
allowance for
-travelling two
miles,









PART II.
Form 1.
Form of Application for registration by employers
to whom section 24 applies.
Workmeni's (Compensation Ordinance, 1956.
1. Name of employer
2. Place of business of employer
3. Name of insurance company
with which employer is
insured and number and
date of each policy
4. Type of ri4ks against which
employer is insured
5. Nature of deploymentss in
which workmen are engaged
6. Approximate number of
workmen employed
7. Total sumi assured
Form 2. Reg, 41(2).
Certificate of Registration under section 26
OF THE
Workmen's Compensation Ordinance, 1956.
This is to certify that

M ................... .. ....... . .............. ..... ..........

of............ ...............................
carrying on the business or trade mentioned hereunder has been
registered by me in accordance with section 26 of the Work-
men's Compensation Ordinance, 1956.

Type of A average Number of per- and In-
Business Location, number sons covered surance
or Trade. employed, by Insurance. Policy No.







This certificate shall be posted in a conspicuous place
for workpeople to see.

Cou nissitoier o' Labour.
D ate..... .... ... .......... .. ..............








PART Ill.
Solicitors costs :and allow ances to parties 'and witnesses.
Workujin'-. (Comnpensation Ordinance, 1956.

(1) Solicitors 1e( s

(a) In uncontested claims for compensation 6
(b) InI contested claims For compensation-
(i) where thie siun in dispmte does
not exceed $100() 12
(ii) exceeds 100 Iit- does, not
exceed S4F') 16
(iii) exceeds $400-
$1( for the first
$S100a i for
succeeding l 101)
or part thereof.
(For the purpose of this Part of this Schedule
the expression "sum in dispute" means,
where costs are awarded to a successful appli-
cant, the sum recovered, and, wherever costs
are awarded to a successful respondent, the
sum claimed).
(c) Fee on adjourned hearing, if allowed 6
(d) Preparation and registration of a
Memorandum of Agreement 6
(e) Applications for review or redemption 6
( /) Attendance to tile any document with
the clerk


(y) A pp-.ls frrn a Magistrater to a Jndge'
of the Supreme Court

(h) Special cases j


(i) Any matter not provided for in this
Part of this Schedule


Such fees ;us may
be allowed within
the limits autho-
rised by the
Magistrate's Code
of Procedure Act.
Such reasonable
cost s ls may be
allowed by the
Magistrate.








(2) Allowances to l'artide and Witnesses.

$ cta.
(a) Medical Practitioners, planters, merchants,
bankers, government officers and profes-
sional persons, not exceeding per diem 2 40

(6) Agricultural labourers, domestic servants,
day labourers and the like persons, not
exceeding per diem 1 00

(c) Other persons, according to their rank,
in life, not exceeding per diem 1 50

And any actual travelling expenses
,allowed by the M'Tgi-',:t'r .


PART IV. Reg. 43

Medical Practitioners Fees under section 6(2(a).
Workmen's Compensation Ordinance, 1956.

$ cts.
(a) Where a workman is examined at a medi-
cal practitioner's office or surgery between
6.30 a.m. and 7 p.m. 3 00

(b) Where a workman is examined at a medi-
cal practitioner's office or surgery between
7 p.m. and 6.30 a.m. 4 00

(,) Where a medical practitioner is required to
examine a workman at a place other than
his office or surgery between the hours
of 6 30 a.m. and 7 p.m. 4 00

(d) Wherte a medical practitioner is required
to examine a workman at a place other
thin his office or surgery bt~ t(ln the
hours of 7 p.m. and 6.30 a.m. 5 00






57

PART V.
Fees of Court.

Workmen's Compensation Ordinance, 1956.

1. Applications for compensation-
$ cts.
(a) where compensation is claimed in the
form of recurring payments 1 50

(b) where compensation is claimed in the
form of lump sum $1.00 where the
sum does not
exceed $250,
plus $1.50 for
each additional
sum of $250
or fraction
thereof.
(2) Applications for redemption-

(a) by agreement between the parties 1 50

(b) In all other cases 3 00

(3) Applications for the deposit of compensation-

(a) Under section 15(1) of the Ordinance 75

(b) In all other cases, in respect of each person
to whom compensation is payable 1 50

4. Applications for distribution by
defendants, for each dependant 1. 50

5. Applications for review-

(a) Where the review claimed is the contiuu-
ance, increase, decrease, or ending of
weekly or half-monthly payments 1 50

(b) Where the weekly or hAilf-monthly pay-
ments are sought to be converted into a
lump sum 3 00
(c) In all other causes 1 50







58

6. Application for the registration of agreements-

$ cts.
(a) Where the application or the memoran-
dum of agreement is signed by both parties 75
(b) In all other cases 1 50
7. Applications to summon witnesses-
For every witness 25
8. Applications for indemnification 3 00
9. Applications for the recovery of compensation-
(a) Under an order already made by the
Magistrate 50
(b) In all other cases The same fee as
is payable on a
similar applica-
tion for compen-
sation.
10. All applications not otherwise provided for 50
11. Answer to any claim 50
12. Notice of motion for appeal from
Magistrate to a Judge 3 00
13. Filing any document not otherwise
provided for 25
14. Copy of any document furnished by
the clerk 4c. per folio
15. (a) For service of any notice or persons 15
(b) For service at a greater distance
than two miles from the Magis-
trat's office, for every extra
mile or part of a mile in addition
to the above fee 06
Provided that mileage shall be
calculated to a place, and not to
and from a place.
Printed at the Governmnet Printing Otlice. Anid iua. Letrw t d Islands
by E. M. BLACKMAN, MI.B.E,, Government Printer.--By Authority
1957,
570-4.57. [Prie 72 cnits,




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