Forms

• Administrative Review Tribunal (ART) Checklist (PDF 109.9 KB)
• Aids and Appliances (Excluding Hearing Aids) Claim form (PDF 75.4 KB)
• Alterations to a Place of Residence or Work or Modifications to a Vehicle or Article Claim form (PDF 114.5 KB)
• Application for engineered stone prohibition exemption (PDF 150.7 KB)
• Asbestos Removal Licence application form (PDF 134.9 KB)
• Asbestos Removal Licence Change of Details form (PDF 120.7 KB)
• Asbestos Removal Licence Supervisor Nomination form (PDF 135.6 KB)
• Authorisation to Use, Handle or Store Prohibited and Restricted Carcinogens application form (PDF 167.4 KB)
• Authority (or Removal of Authority) to Act on Employee's Behalf form (PDF 130.3 KB)
• Authority and Consent for the Collection and Release of Medical Information Pertaining to my Claim form (PDF 72.8 KB)
• Authority and Consent for the Release of Superannuation Information form (PDF 159.1 KB)
• Certificate of Capacity - Use in Best Practice (Bp Premier) guide (PDF 542.2 KB)
• Certificate of Capacity - Use in Genie guide (PDF 89.4 KB)
• Certificate of Capacity - Use in Medical Director guide (PDF 383.9 KB)
• Certificate of Capacity for Work form (PDF 450.1 KB)
• Cessation of Employment form (PDF 152.9 KB)
• Claim for Time Off Work form (PDF 64.9 KB)
• Claim for Time Off Work Online form
• Claim for Time Off Work Online form information for employers (PDF 117.1 KB)
• Claim for Time Off Work Online form reference guide for employees (PDF 140.8 KB)
• Commonwealth Construction Induction Training Card (New or Replacement) application form (PDF 402.7 KB)
• Contact Us Online Enquiry form
• CSC and Comcare joint authority form (PDF 342KB)
• Assessment to determine if the processing of a CSS is high risk (template) (PDF 153.1 KB)
• Customer Information System (CIS) Access Request and Rehabilitation Case Manager update form (PDF 145.2 KB)
• Customer Information System (CIS) Cost Centre Update form (PDF 118.9 KB)
• Customer Information System (CIS) Login
• Customer Information System (CIS) New Customer Creation form (PDF 96.2 KB)
• Debtor Creation form (PDF 103.1 KB)
• Demolition Works Notification form (PDF 184.8 KB)
• Design Registration (or Variation of Design) of an Item of Plant application form (PDF 336.4 KB)
• Direct Payments Update form (PDF 72.4 KB)
• Electronic Funds Transfer (EFT) Request form for departments and agencies (PDF 89.4 KB)
• Electronic Funds Transfer (EFT) Request form for injured workers (PDF 87.4 KB)
• Electronic Funds Transfer (EFT) Request form for providers (PDF 85.2 KB)
• Emergency Demolition Involving Asbestos Notification form (PDF 184.0 KB)
• Exercise as Medical Treatment Claim form (PDF 114.0 KB)
• Financial support following a work-related death (PDF 821.1 KB)
• Fraud Report Online form
• General Exemption application form (PDF 136.6 KB)
• Health Monitoring Report form (PDF 162.0 KB)
• Hearing Aid Request form (PDF 167.5 KB)
• High Risk Work Licence application form (PDF 381.5 KB)
• High Risk Work Licence Change of Details form (PDF 70.8 KB)
• High Risk Work Licence Exemption application form (PDF 136.5 KB)
• High Risk Work Licence Notice of Assessment form (PDF 143.9 KB)
• High Risk Work Licence Payment Request Tax Invoice form (PDF 155.9 KB)
• Household or Attendant Care Services application form (PDF 242.3 KB)
• Incapacity for Work and Record of Earnings (Paid Employment) Claim form (PDF 109.8 KB)
• Incapacity for Work and Record of Earnings (Self Employment) Claim form (PDF 107.8 KB)
• Incident Notification form (PDF 203.3 KB)
• Incident Notification Online form
• Information Publication Scheme Online Request form
• Internal Review of a Work Health and Safety Decision application form (PDF 123.1 KB)
• Journey Claim form (PDF 126.0 KB)
• Lead Risk Work Notification form (PDF 238.6 KB)
• Licensed Asbestos Removal Work Notification form (PDF 190.7 KB)
• Lump Sum Redemption section 137 application form (PDF 112.1 KB)
• Major Hazard Facility Exemptions application form (PDF 135.6 KB)
• Manifest Quantities Schedule 11 Chemicals or Abandoned Tank Notification form (PDF 130.0 KB)
• Medical Services Claim form (PDF 185.0 KB)
• Medication Review form (PDF 67.8 KB)
• Multiple Item of Plant Design Registration form (PDF 49.0 KB)
• Normal Weekly Earnings Advice form (PDF 159.6 KB)
• Normal Weekly Earnings Advice online form reference guide for employers (PDF 113.1 KB)
• Notice of Entry by Work Health and Safety Entry Permit Holder form (PDF 157.7 KB)
• Notification of permitted work - engineered stone (PDF 241.4 KB)
• Online Claims Lodgement user guide for employers (PDF 124.5 KB)
• Online Forms Employer Login
• Online Forms Super User quick reference guide (PDF 99.9 KB)
• Online Forms Super User Registration form (PDF 110.4 KB)
• Online Forms Super User Registration reference guide (PDF 106.5 KB)
• Operate a Major Hazard Facility application form (PDF 175.2 KB)
• Parliamentary Injury Compensation Scheme Claim form (PDF 232.2 KB)
• Pay Start Information form (PDF 180.2 KB)
• Permanent Impairment and Non-economic Loss Compensation Claim form (PDF 240.5 KB)
• Permanent Impairment and Non-economic Loss Compensation Claim form notes to assist (PDF 139.9 KB)
• Physiotherapy Treatment Plan (PDF 147.8 KB)
• Physiotherapy Treatment plan explanatory notes (PDF 99.7 KB)
• Pipelines Which Transfer Schedule 11 Chemicals Notification form (PDF 173.7 KB)
• Provisional Improvement Notice (PIN) form (PDF 154.6 KB)
• Psychology Extended Consultation Request form (PDF 127.1 KB)
• Psychology Treatment Plan (PDF 105.6 KB)
• Psychology Treatment notification plan explanatory notes (PDF 97.7 KB)
• Reconsideration Request form (PDF 152.7 KB)
• Register or Update Email and Bank Details Online form for service providers
• Registration of an Item of Plant application form (PDF 214.0 KB)
• Rehabilitation assessment examination form SRC 116 (PDF 249.3 KB)
• Rehabilitation assessment form SRC 343 (PDF 238.3 KB)
• Rehabilitation assessments and examinations checklist (PDF 225.2 KB)
• Rehabilitation program alteration form SRC 086 (PDF 241.9 KB)
• Rehabilitation program closure record form SRC 041 (PDF 412.8 KB)
• Rehabilitation program form SRC 040 (PDF 251.2 KB)
• Respirable Asbestos Fibre Levels at More than 0.02 Fibres/ml Notification form (PDF 165.6 KB)
• Section 45 Election form (PDF 66.9 KB)
• Silica risk control plan (template) (PDF 129.3 KB)
• Statement of Financial Circumstances form (PDF 106.4 KB)
• Supplier Direct Credit Information form (PDF 78.9 KB)
• Update Email and Bank Details Online form for employees
• Work Trial Agreement form (PDF 130.2 KB)
• Work-related Death Compensation Claim form (PDF 260.9 KB)
• Work-related Death Compensation Claim information for employers (PDF 178.3 KB)
• Workers' Compensation Claim form (PDF 190.5 KB)
• Workers' Compensation Online Claim form
• Workers' Compensation Online Claim form user guide for employees (PDF 184.9 KB)