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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.
PDF 691.69 kB 28 August 2020 -
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.
DOC 663.04 kB 28 August 2020 -
Form 87R Declaration
The declaration is to be used when there is no doctor available to attend the worker.
PDF 735.47 kB 28 August 2020 -
Authorisation of administrator user
Authorisation of administrator user representative for a third party organisation
PDF 117.41 kB 28 August 2020 -
Queensland Workers Memorial Honour Roll application and eligibility criteria
Queensland Workers Memorial Honour Roll application and eligibility criteria.
PDF 209.85 kB 11 September 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 -
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Form 132M Work capacity certificate - workers' compensation
To be completed by treating practitioner
PDF 208.39 kB 28 August 2020 -
Healthy worker funding program application form
Application form for high-risk industries for work health funding program
DOC 335.36 kB 28 August 2020 -
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
PDF 168.11 kB 28 August 2020 -
Form 23 - New notification of lead risk work
Lead is a highly toxic cumulative poison for which manufacturers and importers must prepare, review, amend and provide Safety Data Sheets and suppliers must provide the Safety Data Sheets and label lead containers.
PDF 2.5 MB 13 April 2021 -
Form 17 - Application for internal review of decision
Complete this form to apply for an internal review of 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.
PDF 278.16 kB 25 October 2021