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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 -
Service provider application form
Form 301: Completing this form does not guarantee referrals from WorkCover Queensland.
DOC 105.98 kB 28 August 2020 -
Online services injury and payment profile database - Terms and conditions
Terms and conditions for the OIR Online services injury and payment profile database.
PDF 148.88 kB 28 August 2020 -
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 -
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 -
Healthy worker funding program application form
Application form for high-risk industries for work health funding program
DOC 335.36 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 542.3 Application for a claim review
Form 542.3 Application for a claim review. Use this form to request a free review by WCRS of a decision by your insurer. This form includes a guidlines to help you complete it..
PDF 216.59 kB 28 August 2020 -
Form 23 - Removal of worker from 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 -
Application for a premium/policy review
Applying for a premium/policy review
PDF 204.82 kB 28 August 2020