Searchshow menu

Our new website is coming soon. Try the Comcare Beta site and tell us about your experience.

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.

Available formats

Below is a completed sample of this form.

Last updated: May 2016

Page last updated: 17 Feb 2020