Forms

Form 132A: Application for assessment of permanent impairment

Form to be completed by a worker to request a permanent impairment assessment.

Form 87R Declaration

The declaration is to be used when there is no doctor available to attend the worker.

Online services injury and payment profile database - Terms and conditions

Terms and conditions for the OIR Online services injury and payment profile database.

Form 132M Work capacity certificate - workers' compensation

To be completed by treating practitioner

Right to Information and Information Privacy - Internal review application form

Form 213. Use this form to request an internal review of a decision that has been made on your application.

Authorisation of administrator user

Authorisation of administrator user representative for a third party organisation

Authority to Release WorkCover Queensland file to a third party

This form is to obtain consent for WorkCover Queensland to provide certain information about you, to a third party (i.e. your insurer or their legal representative, superannuation fund etc.), in relation to your WorkCover claim/s

Form 15 - Change of details or replacement card for an electrical work licence

Change of details or replacement card for an electrical work licence

Form 79.2 Application for renewal - group employer self-insurance licence

Application for renewal - group employer self-insurance licence

Form 79.1 - Application for renewal single employer self insurance licence

Application for renewal - single employer self-insurance licence

Form 1990.182D Application for damages certificate

Includes information on eligibility

Notice of claim for damages WorkCover Queensland Act 1996

Claim for damages WorkCover Queensland Act 1996