Format of Authority Letter for Workmen Compensation
BEFORE THE _________ WORKMENS’ COMPENSATION COURT, _________
Application under the Workmen’s compensation Act For the grant of compensation of _________ /-
I, the undersigned do hereby authorize _________, as my Authorised Representatives to conduct the above mentioned case on behalf of me. All the agreements and commitments done by my above said A.R. shall be ratified and confirmed by me.
_________, resident of _________,