Forms

Form 106 - Queensland health and safety representative (HSR) training provider application

Form 106 - Queensland health and safety representative (HSR) training provider application

Online services injury and payment profile database - Terms and conditions

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

Queensland Workers Memorial Honour Roll application and eligibility criteria

Queensland Workers Memorial Honour Roll application and eligibility criteria.

Form 325B - Application for a lung disease examination

An application form for a lung disease confirmation examination under the Worker's Compensation and Rehabilitation Act 2003.

Form 578 Application for a major hazard facility licence

Application for a major hazard facility licence

Form 87R Declaration

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

Authorisation of administrator user

Authorisation of administrator user representative for a third party organisation

Request for non-surgical treatment

This form is for non-surgical treatments provided in an outpatient setting.

Form 132M Work capacity certificate - workers' compensation

To be completed by treating practitioner

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 275 Notice of claim for damages

A twelve page form, last updated 2018