(1) If any matter under the Act is required to be processed before or by a Commissioner other than the Commissioner having jurisdiction over the area in which the accident took place the former may for the proper disposal of the matter call for in Form B a detailed report including transfer of any records or money remaining with the latter and on receipt of such a request he shall comply with the same:
Provided that if any further enquiry is necessary in the area in which the accident took place for framing of issues or for determining the amount of compensation, the Commissioner, before whom the application has been filed, may require the Commissioner of the area in which the accident took place to conduct such enquiries and to serve such notices or orders as may be necessary for the purpose of such enquiries.
(2) Money deposited with one Commissioner under Section 8 shall be transmitted to another Commissioner either by remittance transfer receipt or by money order or by bank cheque.
Form A
[See Rule 3]
Notice
Whereas a claim for compensation has been made by ..(applicant) against and the said applicant has claimed that he is entitled to file an application under clause (b) or (c) of Section 21(1) of the 6[Employees'] Compensation Act, 1923;
And whereas the undersigned is satisfied that the said applicant is entitled to file the aforesaid claim;
Now, therefore, the Commissioner for 7[Employees'] Compensation ./Government of . is hereby given notice that the undersigned proposes to settle the claim of the applicant as provided under the Act.
Form B
[See Rule 4]
Transfer of Records or Money
To,
.
.
.
Sir,
The report about an accident which occurred on at .. (here enter details of premises) and which resulted in death/disablement of the 8[employee] is furnished as given below:
1. (a) Name of the 9[employee].
(b) Sex, age and monthly wage.
(c) Nature of employment.
(d) Name of the employer,
(e) Full postal address of the 10[employee]/dependants (local and permanent both),
(f) Full postal address of the factory/establishment where its registered office is located.
2. The circumstances leading to death/disablement of the 11[employee]:
(a) Time of the accident.
(b) Place where the accident occurred.
(c) Manner in which deceased was/were employed at that time.
(d) Cause of the accident.
3. The amount of money deposited by the employer with the Commissioner under Section 8.
4. (a) Details of compensation paid, if any.
(b) Particulars of money invested for the benefit of dependants of deceased 12[employee].
5. Documents forwarded (in original) as under:
(a) Death certificate.
(b) Disablement certificate from the competent medical authority.
(c) Receipt for Deposit of Compensation by the employer.
(d) Statement of Disbursement.
(e) Receipt of compensation from the 13[employee]/dependants.
(f) Memorandum of Agreement, if any.