The Industrial Relation (Bihar) Rules, 2026
Form XIX
Official text
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[See Rule 41]
Application by a person who is an assignee or heir of a deceased worker under sub-
section (2) of section 59 of the Industrial Relations Code, 2020 (35 of 2020)
Before the State Government Industrial Tribunal at ................................ Between
(i)Name of the applicant/applicants
…………………………………………..…………….
(ii) Name of the employer
…………………………………………………………………..
I am/We are the assignee(s) of the deceased worker and am/are entitled to make
an application on his behalf.
Shri former worker of M/s of is entitled to receive
................... .......................... ........................
from the said M/s the money/benefits mentioned in the statement hereto
............................
annexed;
It is prayed that the Tribunal be pleased to determine the amount/amounts due to
the deceased worker.
Name and Address of worker..........................
Signature of the assignee/heirs
Address (es)
……………………………………………………..
Place
......................................................
Date
.........................................................