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Form 132M Work capacity certificate - workers' compensation
To be completed by treating practitioner
PDF 208.39 kB 28 August 2020 -
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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 -
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 -
Service provider application form
Form 301: Completing this form does not guarantee referrals from WorkCover Queensland.
DOC 105.98 kB 28 August 2020 -
Application form – Rehabilitation and return to work coordinator (RRTWC) course approval
Version 1
PDF 156.2 kB 28 August 2020 -
Form 132A: Application for assessment of permanent impairment
Form to be completed by a worker to request a permanent impairment assessment.
PDF 179.06 kB 28 August 2020 -
Form 74 - New application for authorisation
If your workplace uses, handles or stores prohibited or restricted carcinogenic hazardous chemicals, use this form to apply for authorisation.
PDF 2.9 MB 9 April 2021 -
Form 88 - Application for appointment/renewal - accredited provider for workplace health and safety auditor (self-insurance)
Form starts on page five. This application is for individuals wishing to become an accredited workplace health and safety (WHS) auditor (self - insurance) or to renew their accreditation. Includes guide to completing the form (8 pages total).
PDF 250.45 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 -
Form 74 - Amendment to existing authorisation
If your workplace uses, handles or stores prohibited or restricted carcinogenic hazardous chemicals, you may be required to be authorised for those purposes.
PDF 2.9 MB 9 April 2021 -
Form 79.2 Application for renewal - group employer self-insurance licence
Application for renewal - group employer self-insurance licence
PDF 674.68 kB 28 August 2020