Forms
Page last reviewed: 6 months ago
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Administrative Review Tribunal (ART) Checklist
(PDF, 109.94 KB)
Aids and Appliances (Excluding Hearing Aids) Claim form
(PDF, 75.41 KB)
Application for direct incapacity payments
(PDF, 155.85 KB)
Asbestos Removal Licence application form
(PDF, 134.89 KB)
Asbestos Removal Licence Change of Details form
(PDF, 120.72 KB)
Asbestos Removal Licence Supervisor Nomination form
(PDF, 135.63 KB)
Authority (or Removal of Authority) to Act on Employee's Behalf form
(PDF, 130.26 KB)
Certificate of Capacity for Work form
(PDF, 229.94 KB)
Certificate of Capacity - Use in Best Practice (Bp Premier) guide
(PDF, 542.21 KB)
Certificate of Capacity - Use in Genie guide
(PDF, 89.4 KB)
Certificate of Capacity - Use in Medical Director guide
(PDF, 383.87 KB)
Cessation of Employment form
(PDF, 152.9 KB)
Customer Information System (CIS) Cost Centre Update form
(PDF, 118.91 KB)
Customer Information System (CIS) New Customer Creation form
(PDF, 96.15 KB)
High Risk Work Licence Exemption application form
(PDF, 136.55 KB)
Major Hazard Facility Exemptions application form
(PDF, 135.61 KB)
Application for engineered stone prohibition exemption
(PDF, 150.69 KB)
General Exemption application form
(PDF, 136.63 KB)
Health Monitoring Report form
(PDF, 161.97 KB)
Hearing Aid Request form
(PDF, 167.46 KB)
Notification of permitted work - engineered stone
(PDF, 241.4 KB)
CSC and Comcare joint authority form
(PDF, 341.53 KB)
Debtor Creation form
(PDF, 103.07 KB)
Demolition Works Notification form
(PDF, 184.79 KB)
Direct Payments Update form
(PDF, 72.35 KB)
Early intervention systems checklist
(PDF, 337.72 KB)
Electronic Funds Transfer (EFT) Request form for providers
(PDF, 85.19 KB)
Emergency Demolition Involving Asbestos Notification form
(PDF, 183.97 KB)
Employee statement template
(DOCX, 84.92 KB)
Exercise as Medical Treatment Claim form
(PDF, 114 KB)
Financial support following a work-related death
(PDF, 821.09 KB)
High Risk Work Licence application form
(PDF, 381.46 KB)
High Risk Work Licence Change of Details form
(PDF, 70.8 KB)
High Risk Work Licence Notice of Assessment form
(PDF, 139.39 KB)
High Risk Work Licence Payment Request Tax Invoice form
(PDF, 155.93 KB)
Household or Attendant Care Services application form
(PDF, 242.27 KB)
Incident Notification form
(PDF, 203.32 KB)
Journey Claim form
(PDF, 125.98 KB)
Lead Risk Work Notification form
(PDF, 238.56 KB)
Licensed Asbestos Removal Work Notification form
(PDF, 190.71 KB)
Lump Sum Redemption section 137 application form
(PDF, 112.14 KB)
Medical Services Claim form
(PDF, 185.04 KB)
Medication Review form
(PDF, 67.8 KB)
Multiple Item of Plant Design Registration form
(PDF, 49.05 KB)
Normal Weekly Earnings Advice form
(PDF, 159.55 KB)
Notice of Entry by Work Health and Safety Entry Permit Holder form
(PDF, 157.69 KB)
Online Claims Lodgement user guide for employers
(PDF, 124.51 KB)
Online Forms Super User Reference Guide
(PDF, 176.54 KB)
Online Forms Super User quick reference guide
(PDF, 99.86 KB)
Online Forms Super User Registration form
(PDF, 110.37 KB)
Operate a Major Hazard Facility application form
(PDF, 175.18 KB)
Pay Start Information form
(PDF, 180.21 KB)
Permanent Impairment and Non-economic Loss Compensation Claim form
(PDF, 240.54 KB)
Physiotherapy Treatment Plan
(PDF, 152.28 KB)
Parliamentary Injury Compensation Scheme Claim form
(PDF, 232.19 KB)
Pipelines Which Transfer Schedule 11 Chemicals Notification form
(PDF, 173.68 KB)
Provisional Improvement Notice (PIN) form
(PDF, 154.56 KB)
Psychology Extended Consultation Request form
(PDF, 127.06 KB)
Psychology Treatment Plan
(PDF, 105.64 KB)
Customer Information System (CIS) - Quick reference guide
(PDF, 149.13 KB)
Online forms - Quick reference guide
(PDF, 142.46 KB)
Reconsideration Request form
(PDF, 152.72 KB)
Registration of an Item of Plant application form
(PDF, 214.03 KB)
Rehabilitation assessment examination form SRC 116
(PDF, 249.26 KB)
Rehabilitation assessment form SRC 343
(PDF, 238.32 KB)
Rehabilitation assessments and examinations checklist
(PDF, 232.32 KB)
Rehabilitation program alteration form SRC 086
(PDF, 241.86 KB)
Rehabilitation program closure record form SRC 041
(PDF, 412.81 KB)
Rehabilitation program form SRC 040
(PDF, 281.17 KB)
Report a work health and safety concern form
(PDF, 199.23 KB)
Section 45 Election form
(PDF, 66.87 KB)
Silica risk control plan (template)
(PDF, 129.31 KB)
Statement of Financial Circumstances form
(PDF, 106.44 KB)
Supplier Direct Credit Information form
(PDF, 78.89 KB)
Claim for Time Off Work form
(PDF, 64.94 KB)
Claim for Time Off Work Online form information for employers
(PDF, 117.06 KB)
Claim for Time Off Work Online form reference guide for employees
(PDF, 140.81 KB)
Work-related Death Compensation Claim information for employers
(PDF, 178.34 KB)
Work-related Death Compensation Claim form
(PDF, 260.93 KB)
Work Trial Agreement form
(PDF, 130.23 KB)
Workers' Compensation Claim form
(PDF, 190.46 KB)
Workers' Compensation Online Claim form user guide for employees
(PDF, 184.94 KB)