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Consent to check national police records and advise a third party
Queensland police form 8/6/2004
DOC 111.1 kB 28 August 2020 -
Form 71 - Request for Work Health and Safety Prosecutor (WHSP) to commence a prosecution
Request the Work Health and Safety Prosecutor to bring a prosecution under section 231 of the Work Health and Safety Act 2011 (including in relation to the Safety in Recreational Water Activities Act 2011) or section 186A of the Electrical Safety Act 2002.
PDF 161.05 kB 28 August 2020 -
Form 133/133A: Employer reporting - Injury that may be compensable (reportable injuries)
Form for employers to report injuries that may be compensable (reportable injuries)
PDF 151.47 kB 28 August 2020 -
Form 106 - Queensland health and safety representative (HSR) training provider application
Form 106 - Queensland health and safety representative (HSR) training provider application
PDF 262.43 kB 28 August 2020 -
Application for reinsurance set limit
Form 42 - For use by self-insurers
PDF 535.83 kB 28 August 2020 -
Appointment to government body - Personal particulars form for candidates
Candidates to complete
DOC 461.82 kB 28 August 2020 -
Compliment or complain about our services
We are committed to excellent customer service. Both positive and negative feedback helps us to provide better services to our stakeholders. Complaints about our services are taken seriously and we follow a clear process to try and resolve your issue.
PDF 127.26 kB 28 August 2020 -
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