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Claims forms

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  • Authority and consent for the release of superannuation information

    Comcare needs to collect your personal information for the purpose of determining and managing your compensation claim and to assist Comcare in the performance of its functions and exercise its powers under the Safety, Rehabilitation and Compensation Act 1988 (SRC Act). This form is used to collect that information.



 

  • Authority/Removal of authority to act on employee's behalf

    This form is used to collect information needed when an employee advises Comcare that they have another person (e.g. legal representation, family members or union delegate) to represent them in claims matters or to deal with Comcare on their behalf. This form can also be used to amend or revoke authority.



 

  • Certificate of Capacity

    This form is to be filled out as a medical certificate for workers' compensation claims in the ACT.



 


 


 


 


 


 

  • Claim for Exercise as Medical Treatment

    Please complete this form if you want to claim for support to exercise as medical treatment under section 16 of the Safety, Rehabilitation and Compensation Act 1988 (SRC Act).



 

  • Claim for Time off work

    This form is used to claim compensation for time off work or/and reduced earnings from Comcare by employees who continue to be employed by the Commonwealth or ACT Government.



 


 

  • Direct payment update form

    Comcare regularly reviews claim files to ensure you are receiving the correct entitlements. By completing this form, you are assisting Comcare to maintain correct details regarding your claim for compensation.



 

  • EFT/Email address update form

    You should complete this online form to receive your Comcare payments via Electronic Funds Transfer (EFT) and to receive correspondence about your claim via email.  If you need assistance with providing or updating your EFT bank details or email address please call your Claims Manager directly.  Alternatively you can call Comcare on 1300 366 979 and ask to speak with your Claims Manager for assistance.



 

  • Hearing Aid Request Form

    This form is used to collect information needed to assess entitlement to hearing aids in accordance with the Safety, Rehabilitation and Compensation Act 1988.



 


 

  • Journey Claim Form

    This form is to be completed if you wish to claim workers' compensation while travelling for work purposes.



 


 


 

  • Medication review form

    The form is used for doctors to provide details of all medications they have prescribed in relation to a compensable condition.



 


 

  • Pay start information

    Comcare uses this form to direct your fortnightly payments into your bank account.



 

  • Periodic review form

    This form is for injured workers who receive compensation for ongoing or long-term incapacity as a result of their injuries. This form is sent to injured workers by Comcare to request information and documents relevant to their claim.



 

  • Physiotherapy treatment notification plan

    Comcare requires a Physiotherapy Treatment Notification Plan (TNP) to be submitted when treating an injured worker for the first time, where more than five sessions are required, when there has been a gap in physiotherapy treatment of greater than twelve months and when the injured worker has changed physiotherapy clinic.



 

  • Psychology counselling treatment notification plan

    Comcare requires a Psychology Treatment Notification Plan (TNP) to be submitted when treating an injured worker for the first time, where more than five sessions are required, when there has been a gap in psychology/counselling treatment of greater than twelve months and when the injured worker has changed psychology/counselling clinics.



 


 

  • Reconsideration request

    The form is used when an injured worker or employer disagrees with a determination made by Comcare and they would like the determination to be reviewed.



 


 

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Page last updated: 21 Mar 2016