Mar. 31.] THE NEW ZEALAND GAZETTE. 985

Form F. 3c.

Under “The Factories Act, 1908”
(Sections 11 and 16).

APPLICATION FOR RENEWAL OF REGISTRATION OF FACTORY.
[To be served on Inspector.]
[Address of factory], , 191 .

To the Inspector of Factories,

I [or WE] hereby make application for the renewal of the registration of factory under “The Factories Act, 1908.” The following are the particulars required; and I hereby declare the same to be correct in every particular.

The total number of persons (including occupiers) at present employed, or to be employed, in or about the factory is , for which the registration fee of £ : : , as per scale below, is enclosed.

[Signature of occupier.]

Particulars

Concerning all Persons employed or engaged in or about the Factory at any Time during the Year ending 31st March, 191 , in connection with the Work of the Factory.

[Any persons employed principally outside the factory premises are to be shown on attached Form L. D. instead of on this form.]

(a.) Occupiers (owners, managers, and others not included below (see b), but engaged in work of the factory).

(b.) Employees [If no employees, write “Nil” across this portion of the form.]

• Board and lodging, or any similar allowance, to be included.

Scale of Fees under Factories Act.

Persons at present employed in factory (including occupiers): Up to 3 persons, 1s.; up to 8 persons, 5s.; up to 15 persons, 10s.; up to 30 persons, £1 1s.; over 30 persons, £2 10s.

Form F. 4A.

Under “The Factories Act, 1908”
(Section 15).

NOTICE TO INSPECTOR OF FACTORIES OF INCREASE IN NUMBER OF PERSONS EMPLOYED IN FACTORY (REQUIRING PAYMENT OF LARGER REGISTRATION FEE).

[Address.] , 191 .

To the Inspector of Factories,

I HEREBY give you notice that on , 191 , the number of persons employed in my factory was increased to ,

thereby requiring the payment of a larger registration fee, and I accordingly enclose herewith the difference between the fee already paid for the year and the fee payable on such increased number—viz., £ : : .

[Occupier of factory.]

[NOTE.—Section 15 provides that in the event of an increase in the number of hands employed in any factory, rendering a larger fee payable, the occupier of such factory shall, within seven days thereafter, give written notice thereof to the Inspector, enclosing therewith the extra amount of fee thus payable.]

Form F. 5A.

[To be filled in, signed by the occupier of factory, and exhibited and maintained in a conspicuous place in factory.]

[Coat-of-arms.]

Under “The Factories Act, 1908”
(Section 17).

Name and address of the Inspector of the district :

Name and address of the medical authority (if any) for the district :

Official address of local authority :

*Holidays of factory: Christmas Day, New Year’s Day, Good Friday, Easter Monday, Labour Day, the sovereign’s birthday; and also every Saturday (or other day as may be decided under section 36) from 1 o’clock p.m.

Working-hours of factory :

Statement of procedure required to be observed in order to claim compensation under the Workers’ Compensation Act. (See form of statement attached hereto.)

[Occupier of factory.]

• For boys under eighteen years of age, and women.

NOTE.—“The Factories Act, 1908,” section 38, provides as follows:—

(1.) Wages for each whole or half holiday shall, in the case of each boy under eighteen years of age, or woman, be at the same rate as for ordinary working-days, and shall be paid at the first regular pay-day thereafter.

(2.) This section shall apply to every boy under eighteen years of age, or woman, who is paid by time wages, whatever the time, and has been employed in the factory for at least twenty days during the four weeks next preceding the whole holiday, or for at least five days during the month next preceding the half-holiday, whether such employment has been on consecutive days or not, and whether the person employed has been continuously in the service of the occupier or not.

Statement showing the Procedure for the Purpose of claiming Compensation under “The Workers’ Compensation Act, 1908.”

1. Notice of Accident (Section 24).—To be in writing, and served on the employer, or one of them if there is more than one, by delivering, or posting it in a registered letter, as soon as practicable, giving—

   1. Name and address of person injured ;
   2. Cause of injury; and
   3. Date and place thereof.

(Notice is not required in the case of the death of the worker.)

2. Claim for Compensation (Sections 21 and 25).—If the claim is not settled by agreement, proceedings must be commenced by the issue of a writ of summons (Form No. 3)* by the worker, or, in the case of death, by his representative on behalf of the dependants, or by the dependants, or any one or more of them on behalf of all of them, in accordance with the regulations.

The action must be commenced within six months after the date of accident, or, in case of death, within six months after date of death; or, if any payment of compensation or damages is made by the employer, or if he signs an admission of liability, action may be commenced within six months from the date thereof.

Failure to commence action within the specified time shall be no bar, however, if the Court is of opinion that there has been reasonable cause for same.

• NOTE.—A copy of the regulations and the necessary forms can be obtained from the nearest Clerk of Awards or Inspector of Factories.