Worksafe claim form

The form workers must complete in order to lodge a claim. Make sure you understand the types of claim you’re making, the people involved in the process, and the documents you’ll require. Complete an injury claim form This form is the most important document involved in your claim.

An accurate claim form , submitted properly will speed up the claims process. Vocational rehabilitation expenses are now submitted using Form 3B – Voc Rehab Expense Reimbursement. There can be penalties for failing to meet this timeframe. Your WorkSafe agent has days to assess the claim and let you know the outcome. A form to provide details on an employer injury claim report for WorkSafe.

This report can be used to lodge a workers’ compensation claim in New South Wales, Queensland or Victoria. Information for injured workers: How to make a WorkSafe claim A step-by-step guide to claiming workers compensation if you have a work-related injury or illness. File Type and Size. The claims manual is a guide for WorkSafe agents to help make decisions in line with legislation. It includes information about claims management, weekly payments, medical and like services, return to work, specialised payments and dispute resolution.

Our secure online service makes managing claims easy. Workers can view all the information associated with their claim. Employers can check the status of a claim and enter return-to-work dates, as well as check their claims costs.

Report a workplace injury or disease. Use this form to request reimbursement for approved medical supplies and services. There are two separate approved forms for a death claim for dependents and the employer. In such cases, a Form can be completed and kept on file in the work unit to record the event in case the employee incurs time loss or seeks medical attention at a future date. We answer your questions about the claims process and your claim status.

Claims Call Centre. Lower Mainland) Toll-free: 1. We will contact you to obtain any additional information not captured by the current form. This Manual has been developed by WorkSafe Victoria for use by its staff and authorised Agents who manage WorkCover claims to assist with decision making in line with the legislation.

You can create an online services account so you can log on later to see more details about your claim. If you have a work-related injury or illness, tell your employer and seek medical attention. You also need to contact us to apply for benefits and report your injury. FM1– version 11.

Print the form and complete by hand and sign. Use a ball point pen and print all clearly. There is a separate approved form for death claim by dependents. WorkSafe under that legislation to act on its behalf in managing workers’ compensation policies and claims for compensation. Personal and health information about you is collected on this form and may also be collected during the processing, assessing and management of your claim.

Make a claim WorkCover Queensland claim.