- Promoting health and safety
- Creating mentally healthy workplaces
- Why is work health important?
- Healthy worker
- Working together: Promoting mental health and wellbeing at work
- Mental Health and Wellbeing - Participating and thriving in our workplaces
- Supporting ability at work
- Supporting health, performance and productivity
- Flexible work
- Building a resilient workforce
- Health Benefits of Work
- Roles and responsibilities
- Duty Holders
- Comcare research program
- Health and safety representatives
- Investing in Experience: Age diversity in the workplace
- Education & training
- Creating mentally healthy workplaces
- Preventing harm
- Managing risks in the workplace
- Managing hazards
- Early intervention
- Recovery and return to work
- Recovery and rehabilitation
- Returning to work
- Returning to independence
- Claims and benefits
- Roles and responsibilities - claims
- Can I claim?
- Lodging a claim
- Assessing a claim
- Medical treatment
- Benefits and entitlements
- Frequently asked questions
- Dispute Resolution Service
- Customer Information System (CIS)
- Our service charter
- Our fraud policy
- Case managers
- Forms & publications
- The scheme
- The SRC Act
- Legislative Instruments and Gazettal Notices under the Safety, Rehabilitation and Compensation Act 1988
- Information on 2011 SRC Act amendments
- Information on 2009 SRC Act amendments
- Information on the 2007 SRCOLA Amendments
- SRC Regulations Amendments 1988 to 1999
- SRC Regulations Amendments 2000 to 2009
- SRC Regulations Amendments from 2010
- Overview of the Comcare scheme
- The Parliamentary Injury Compensation Scheme
- The WHS Act
- The ARC Act
- Authorities we work with
- Premium paying employers
- Our compliance and enforcement activities
- Scheme guidance
- Regulatory guides
- Regulator Performance Framework
- Cost recovery
- The SRC Act
- About us
- Organisational structure
- Comcare 2017-18 Corporate Plan
- Useful links
- Contact us
- Access to information
- Service charter
- Public Interest Disclosures
- Comcare diversity programme
- News & media
- Comcare and Defence Science and Technology Research and Development Community of Practice Forum
- SA/NT WHS Networking and Information Forums
- NSW WHS Networking and Information Forums
- Comcare National Conference
- Comcare Work Health and Safety Awards
- Past events
- 2017 National WHS Forums
- Learn how to manage workplace psychological injuries
- Managing Workplace Psychological and Stress Injuries
- 2016 National Conference
- 2016 National WHS Forums
- 2016 Comcare Rehabilitation Case Manager Forum - May
- 2016 Chronic Pain: New Understanding, New Paradigm, New Approach
- 2015 Comcare Rehabilitation Case Manager Forum - May
- 2015 Managing psychological injuries in the Comcare scheme
- 2015 Health and Safety Representative Forums
- 2014 Health and Safety Representative Forums
- 2014 National Conference
- 2014 Comcare Work Health and Safety Awards
- 2013 National Conference
- 2014 Preventing psychological injury in changing workplaces forum
- 2013 Rehabilitation Case Manager Forum - May
- 2012 Comcare Asbestos Forum
- 2012 Rehabilitation Case Manager Forums - November
- 2012 National Conference
- 2012 Comcare Work Health and Safety Awards
- 2012 Rehabilitation Case Manager Forums - May
- 2011 National Conference
- Health and Safety Representative Forums Cairns/Townsville
- Current vacancies
- Stepping Into Program
- Graduate Program
- Indigenous Graduate Program
- How to apply
- What we offer
- Working at Comcare
Injury management forms
Previous 1 Next
- Application fee for initial approval as a Comcare rehabilitation provider $2000
Applications for approval as a rehabilitation provider (workplace rehabilitation provider) must be accompanied by the prescribed fee of $2000.
- Application for approval as a Workplace Rehabilitation Provider
This application form is to be completed by applicants seeking approval to become a rehabilitation program provider (workplace rehabilitation provider) under that Safety, Rehabilitation and Compensation Act (1988).
- Case Conference request form
The purpose of a case conference is for Comcare and key stakeholders to discuss strategies to return injured employees back to work as quickly, safely and effectively as possible.
Case conferences can be initiated either by the employee, employer or Comcare. They may be held face-to-face, by phone, via video conference, or a combination of these, and are either held at routine intervals or when particular issues arise.
This form is used to request a case conference with Comcare.
- Certification of Compliance with the Guidelines for Rehabilitation Authorities 2012
Rehabilitation authorities must complete a Certificate of Compliance to verify that an audit has been undertaken of its rehabilitation management system. This is required under the Guidelines for Rehabilitation Authorities 2012—see Chapter 5—Performance Assessment and Reporting.
- Comcare workplace rehabilitation provider (consultant) approval
This form is to be used by workplace rehabilitation provider (WRP) organisations seeking initial approval of consultants, or recognition/transfer of that approval from another Comcare WRP organisation.
- Comcare workplace rehabilitation provider request to operate in an additional state
This form is to be used by workplace rehabilitation provider (WRP) organisations seeking to provide SRC Act rehabilitation program services in an additional state.
- Multiple claim case conference request form
In certain circumstances, such as part of an agreed premium reduction strategy, discussion of a number of claims for a particular agency may be undertaken in a case conference format.
This form is used by employers to request a case conference with Comcare for multiple claims.
- Rehabilitation assessment/examination (SRC116)
This form is used to engage an approved workplace rehabilitation provider, medical practitioner or a panel of suitably qualified persons to assess an injured or ill employee's readiness and capacity to participate in a rehabilitation program.
- Rehabilitation program (SRC40)
This form is used to document the agreed rehabilitation program for an injured or ill employee. This includes, overall goal(s) (for example—to achieve an early, safe and durable return to work), consultation with key stakeholders, responsibilities for key stakeholders, actions and expected outcomes and, critical dates and costs.
- Rehabilitation program alteration (SRC86)
This form is used to document all changes to an agreed rehabilitation program once it has commenced in order to achieve the original agreed goals. These changes might include altered timeframes or additional costs or services.
It may be necessary to alter a rehabilitation program more than once. A Rehabilitation program—alteration form should be used each time an alteration is made. However, if the overall goal(s) for a rehabilitation program change, the rehabilitation program should be closed using the Rehabilitation program cessation form.
- Rehabilitation program closure record (SRC41)
A cessation determination must be made when the delegate decides to close the rehabilitation program prior to its planed completion date and/or goal achievement. Where the rehabilitation program has been completed—i.e. the goals have been achieved and/or the end date reached—a formal determination is not required. However, page 2 of this form (the rehabilitation program closure record) must be completed and a copy sent to Comcare.
- Suitable duties (SRC109)
This form will assist the case manager and workplace rehabilitation provider (WRP) in working with the employee, their supervisor and treating doctor to identify suitable duties as soon as possible after an injury has occurred. Use this form as part of early intervention rehabilitation without waiting for the employee to lodge a claim for compensation.
- Work trial agreement (SRC64)
This agreement has been developed in consultation with the injured employee, medical practitioner, host employer, workplace rehabilitation provider and rehabilitation case manager. This agreement aims to secure a common understanding and commitment to the work trial and may be modified following consultation with all parties. This work trial agreement forms part of the agreed rehabilitation program and should be submitted to Comcare with the completed current rehabilitation program determination.
- WRP Directory update form
Comcare Approved Workplace Rehabilitation Provider (WRP) details are provided on the Comcare WRP Directory. This form is for WRPs to edit their contact details.
Previous 1 Next