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Report a claim farmer

Required fields are marked with an asterisk (*).
Report claim farming
Are you providing this information to the Workers’ Compensation Regulator for yourself or on someone’s behalf? *
Have you been injured at work? *
Have you made a workers’ compensation claim? *
Claim farmer contact details
What was the name of the person or company who contacted you? If you were given additional contact details, please list them below.
How did the claim farmer contact you? *
Did the claim farmer attempt to refer you to a law practice to make a claim in relation to a work-related injury? *
Did the claim farmer attempt to refer you to someone else to assist you in making a claim? * (e.g. a medical or legal provider)
(e.g. suggestions on how the caller may have obtained your personal information)
Please note: If you have additional files to attach, then please email to seek an alternative send method.
Consent details
Do you consent to the Workers’ Compensation Regulator contacting you about your report? *
Your contact details
Your details are not compulsory but there is a better chance we will be able to investigate your report if you do provide your details. It is our policy not to release your information unless we are authorised or required by law.

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The Office of Industrial Relations is collecting your personal information for the purposes of responding to your registration request. Your personal information may also be used for the purpose of reviewing our client service performance and standards.

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