Forms
Selected filters
Showing 25-36 of 82 results with 1 filter
- Relevance
- Title (A-Z)
- Title (Z-A)
- Date (Newest first)
- Date (Oldest first)
-
Form 29 - superceded by Form 17 - Review of decision
Form 29 is superceded by Form 17. Form 17 allows a business or indiviual to apply for an internal review of a decision under the Work Health and Safety Act 2011, Work Health and Safety Regulation 2011, Electrical Safety Act 2002 or Safety in Recreational Water Activities Act 2011.
14 September 2020 -
Suitable duties program
For employers to complete. This two-page template creates a four week return to work plan.
DOCX 156.31 kB 15 March 2024 -
Injured worker authorisation
A form whereby an injured worker authorises the communication of information between their medical provider and employer in relation to their worker's compensation claim.
DOC 59.9 kB 28 August 2020 -
Group training record
A sample form to use in recording workers' training
DOCX 17.62 kB 28 August 2020 -
EFT Payment Form FM204
Complete this form to get paid (electronic funds transfer).
PDF 36.91 kB 28 August 2020 -
Statutory appointments and public sector employment currently held
We ask candidates for appointment to a government body to complete and sign this form. It tells us about your current public sector employment and any statutory appointments to Qld Government bodies and the amount of remuneration (including daily meeting fees) received for them.The Department of Education is collecting your personal information for the purpose of assessing your eligibility for appointment to Queensland Government statutory bodies and to receive fees should you be appointed.
DOC 35.33 kB 28 August 2020 -
-
-
Worker determination form
This form is for use by policy holder/employer.
DOC 941.57 kB 28 August 2020 -
Request for surgery FM302
Request for surgery approval - This form is only to be used for claims where WorkCover Queensland is the insurer.
PDF 120.11 kB 18 March 2021 -
Form 103 - Administrative release form
Employers use this one page form to request information to assist with the rehabilitation and return to work of an injured worker, or request information relating to the review of a decision.
DOC 686.08 kB 28 August 2020 -
Whiplash disability questionnaire
This questionnaire has been designed to provide information on the impact that your whiplash injury and symptoms have upon your lifestyle.
PDF 87.6 kB 28 August 2020