Industrial Conciliation and Arbitration Forms




20
THE NEW ZEALAND GAZETTE.
[No. 1

(Sec. 135.)
[Form I.C. 22B.
Under the Industrial Conciliation and Arbitration Act, 1925.
AFFIDAVIT TO SUPPORT APPLICATION FOR ATTACHMENT ORDER.

Plaint No. .

In the Magistrate’s Court held at .
Between , judgment creditor, and , judgment debtor.

I, , of , the above-named judgment creditor [or solicitor for the above-named judgment creditor], make oath and say,—

  1. That, on the day of , 19 , in the Magistrate’s Court [or Court of Arbitration], held at , the above-named judgment creditor obtained a judgment in this action against the above-named judgment debtor for the sum of £ [Include costs awarded to plaintiff] under the Industrial Conciliation and Arbitration Act, 1925. [Where judgment obtained in the Court of Arbitration, add] A certificate of the said judgment, in accordance with the terms of section 136 (5) of the said Act, was filed in the Magistrate’s Court at on the day of , 19 .
  2. That the said judgment [or the sum of £ , part of the said judgment] is still unsatisfied.
  3. That I verily believe that the above-mentioned judgment debtor is married [or a widower with children, or a widow with children, or as the case may be.]
  4. That I verily believe that a contract of service exists between [Full name, occupation, and address] and the above-named judgment debtor, by virtue whereof the said judgment debtor is entitled to receive from the said wages exceeding the sum of [£2 a week in the case of a worker who is married or who is a widower or widow with children, or £1 a week in the case of any other worker].

Sworn at , this day of , 19 , before me—

……………,
Clerk of the Court
[or Justice of the Peace, or Solicitor].

(Sec. 135.)
[Form I.C. 22c.
Under the Industrial Conciliation and Arbitration Act, 1925.
ORDER FOR ATTACHMENT OF WAGES.

Plaint No. .

In the Magistrate’s Court, held at .
Between , judgment creditor, and , judgment debtor, and .

Upon reading the affidavit of , filed herein, and upon application made by the judgment creditor on the day of , 19 , it is ordered that all moneys that may hereafter become payable by the above-named employer to the said judgment debtor, in excess of the sum of [£2 a week in the case of a worker who is married or is a widower or widow with children, or £1 a week in the case of any other worker, or as the case may be] be attached to answer the judgment debt of £ herein ; and it is further ordered that the said employer, from time to time as any wages in excess of the said sum of £ per week become due and payable by him to the said judgment debtor after the service of this order upon the said employer, whether under a contract of service existing at the time of the aforesaid application or under any contract of service made at any time thereafter, do pay the said excess into the Magistrate’s Court at until the sums so paid into Court are sufficient to satisfy the charge of £ imposed upon the wages of the judgment debtor by this order.

Dated at , this day of , 19 .

[Seal.]

Stipendiary Magistrate.

(Sec. 132.)
[Form I.C. 23A.
Under the Industrial Conciliation and Arbitration Act, 1925.
NOTICE BY CLERK OF COURT OR CLERK OF AWARDS TO INSPECTOR OF AWARDS OF PAYMENT OF PENALTY.

Plaint No. .

To the Inspector of Awards at .
In the Magistrate’s Court at [or in the Court of Arbitration of New Zealand].

Between , plaintiff, and , defendant.

ENCLOSED please find bank receipt for the sum of £ , being amount of penalty in the above action, together with your costs.

Dated at , this day of , 19 .

……………, Clerk of Court
[or Clerk of Awards].

PARTICULARS.
Penalty:
Costs:

(Sec. 145.)
[Form I.C. 24A.
Under the Industrial Conciliation and Arbitration Act, 1925.
APPLICATION FOR UNDER-RATE WORKER’S PERMIT.

To [The person authorized to issue the permit].

I, [Name in full, occupation, and address], hereby make application to you for a permit, under the award [or industrial agreement], dated , 19 , to accept wages as follows, such wages being below the wage prescribed for ordinary workers in the trade under the said award [or industrial agreement]:

I hereby declare that I am usually employed in the industry to which the said award [or industrial agreement] applies.

PARTICULARS.
Dated at , this day of , 19 .

……………, Applicant.

(Sec. 145.)
[Form I.C. 24B.
Under the Industrial Conciliation and Arbitration Act, 1925.
NOTICE OF HEARING OF APPLICATION FOR UNDER-RATE WORKER’S PERMIT.

To the Secretary, Industrial Union of Workers, .

AN application having been received from [Name, occupation, and address] for a permit under the award [or industrial agreement], dated , 19 , to accept as wages, such wages being below the wage prescribed for ordinary workers in the trade under the said award [or industrial agreement], I hereby give notice that the application will be heard at o’clock on , 19 , at .

Dated at , this day of , 19 .

[Signature of person authorized to issue permit.]

(Sec. 145.)
[Form I.C. 24c.
Under the Industrial Conciliation and Arbitration Act, 1925.
UNDER-RATE WORKER’S PERMIT.

I HEREBY grant a permit to [Name, address, and occupation] to work for per from the day of , 19 , until and including the day of , 19 , under the award [or industrial agreement] dated , 19 .

Given under my hand at , this day of , 19 .

[Signature of person authorized to issue permit.]

(Sec. 101.)
[Form I.C. 25A.
Under the Industrial Conciliation and Arbitration Act, 1925.

WAGES AND OVERTIME BOOK.

Week ending the day of , 19 .

Hours worked. Total Hours. Rates of Pay. Remarks.
Ordinary Time. Overtime. Total Amount paid for Overtime. Total Wages paid.
£ s. d. £ s. d. £ s. d. £ s. d.
First Day. From to
Second Day. From to
Third Day. From to
Fourth Day. From to
Fifth Day. From to
Sixth Day. From to
Seventh Day. From to
Kind of Work on which he is usually employed. (If under 21) Age

J. W. BLACK,
Acting Clerk of the Executive Council.



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✨ LLM interpretation of page content

👷 Application for Order of Attachment of Wages (continued from previous page)

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Attachment of Wages, Judgment Creditor, Judgment Debtor, Form I.C. 22B

👷 Order for Attachment of Wages

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Attachment of Wages, Judgment Creditor, Judgment Debtor, Form I.C. 22C
  • Stipendiary Magistrate

👷 Notice by Clerk of Court or Clerk of Awards to Inspector of Awards of Payment of Penalty

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Payment of Penalty, Clerk of Court, Clerk of Awards, Form I.C. 23A
  • Clerk of Court
  • Clerk of Awards

👷 Application for Under-Rate Worker’s Permit

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Under-Rate Worker’s Permit, Form I.C. 24A

👷 Notice of Hearing of Application for Under-Rate Worker’s Permit

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Under-Rate Worker’s Permit, Hearing Notice, Form I.C. 24B
  • Signature of person authorized to issue permit

👷 Under-Rate Worker’s Permit

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Under-Rate Worker’s Permit, Form I.C. 24C
  • Signature of person authorized to issue permit

👷 Wages and Overtime Book

👷 Labour & Employment
Industrial Conciliation and Arbitration Act, Wages, Overtime, Form I.C. 25A
  • J. W. Black, Acting Clerk of the Executive Council