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Compensation claim for permanent impairment and non-economic loss—form and checklist (SRC 026)

Summary

You should complete this form if you want to claim compensation for permanent impairment and non-economic loss resulting from your compensable conditions under sections 24, 25 and 27 of the Safety Rehabilitation and Compensation Act 1988 (SRC Act).

Available formats

Last updated: August 2018

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Page last updated: 08 Aug 2018