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Form 6 - Response to lump sum offer
Response to lump sum offer pursuant to section 182B of the Workers’ Compensation Act 1990 (as amended)
PDF 547.13 kB 28 August 2020 -
Form 44 - Provisional Improvement Notice (PINs)
Provisional Improvement Notice (PIN) form used at the workplace by the Workplace Health and Safety Representative.
PDF 130.5 kB 28 August 2020 -
FM106 Claim Form
Use this form to make a claim with WorkCover Queensland or your self-insurer for a work-related illness or injury.
DOCX 98.48 kB 28 August 2020 -
Be recognised - Assessment for silver recognition
Be recognised silver application form to be recognised for health and wellbeing at work.
PDF 231.82 kB 28 August 2020 -
Depression, anxiety, stress, scale (dass) response form
Two page form for self-assessement
DOC 15.87 kB 28 August 2020 -
Health and safety checklist for working from home
Checklist to assess WHS risks for working from home arrangements.
PDF 222.78 kB 6 April 2022 -
Form 39 - Completion statement by registered training organisation (RTO) and employer
Completion statement by registered training organisation (RTO) and employer
PDF 55.43 kB 28 August 2020 -
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Service provider application form
Form 301: Completing this form does not guarantee referrals from WorkCover Queensland.
DOC 105.98 kB 28 August 2020 -
Application form – Rehabilitation and return to work coordinator (RRTWC) course approval
Version 1
PDF 156.2 kB 28 August 2020 -
Form 28 - Hazardous chemicals health monitoring report
Under the Work Health and Safety Regulation 2011 where health monitoring is required for a hazardous chemical, the PCBU must send a copy of the health monitoring report to Workplace Health and Safety Queensland in certain circumstances.
PDF 180.08 kB 18 April 2024