THIS AGREEMENT is made BETWEEN [INJURED WORKER’S NAME] of [House number, street name, suburb, State and postcode] (Injured Worker) AND [INSERT NAME OF AGENT] of [insert address of agent] (WorkSafe Agent) ON THE BASIS THATEquipment Provision Agreement • September 11th, 2024
Contract Type FiledSeptember 11th, 2024Pursuant to section 501 of the Workplace Injury Rehabilitation and Compensation Act 2013 (WIRC Act), the WorkSafe Agent is an authorised agent of the Victorian WorkCover Authority trading as WorkSafe Victoria (WorkSafe) and able to enter into this agreement for and on behalf of WorkSafe.
THIS AGREEMENT is made BETWEEN [INJURED WORKER’S NAME] of [House number, street name, suburb, State and postcode] (Injured Worker) AND [INSERT NAME OF AGENT] of [insert address of agent] (WorkSafe Agent) ON THE BASIS THATEquipment Provision Agreement • September 11th, 2024
Contract Type FiledSeptember 11th, 2024Pursuant to section 501 of the Workplace Injury Rehabilitation and Compensation Act 2013 (Act), the WorkSafe Agent is an authorised agent of the Victorian WorkCover Authority trading as WorkSafe Victoria (WorkSafe) and able to enter into this agreement for and on behalf of WorkSafe.