Forms

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

Authorisation of administrator user

Authorisation of administrator user representative for a third party organisation

Form 87R Declaration

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

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

Form 79.1 - Application for renewal single employer self insurance licence

Application for renewal - single employer self-insurance licence

Healthy worker funding program application form

Application form for high-risk industries for work health funding program