Forms

Statutory appointments and public sector employment currently held

We ask candidates for appointment to a government body to complete and sign this form. It tells us about your current public sector employment and any statutory appointments to Qld Government bodies and the amount of remuneration (including daily meeting fees) received for them.The Department of Education is collecting your personal information for the purpose of assessing your eligibility for appointment to Queensland Government statutory bodies and to receive fees should you be appointed.

Form 3 - Incident notification form

Incident notification (Form 3). Use this form (or the online service) to notify of a serious injury, electrical incident, serious illness, fatality, or dangerous incident at your workplace.

Form 133/133A: Employer reporting - Injury that may be compensable (reportable injuries)

Form for employers to report injuries that may be compensable (reportable injuries)

Application for reinsurance set limit

Form 42 - For use by self-insurers

Form 6 - Response to lump sum offer

Response to lump sum offer pursuant to section 182B of the Workers’ Compensation Act 1990 (as amended)

Application form – Rehabilitation and return to work coordinator (RRTWC) course approval

Version 1

Online services injury and payment profile database - Terms and conditions

Terms and conditions for the OIR Online services injury and payment profile database.

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 87R Declaration

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

Authorisation of administrator user

Authorisation of administrator user representative for a third party organisation

Form 132M Work capacity certificate - workers' compensation

To be completed by treating practitioner

Form 79.1 - Application for renewal single employer self insurance licence

Application for renewal - single employer self-insurance licence