Forms
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Showing 13-24 of 66 results for application for compensation form
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Form 133/133A: Employer reporting - Injury that may be compensable (reportable injuries)
Form for employers to report injuries that may be compensable (reportable injuries)
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Form 23 - Amended 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.
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Form 87R Declaration
The declaration is to be used when there is no doctor available to attend the worker.
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Application for a premium/policy review
Applying for a premium/policy review
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Application for reinsurance set limit
Form 42 - For use by self-insurers
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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.
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Form 103 - Administrative release form
Employers use this one page form to request information to assist with the rehabilitation and return to work of an injured worker, or request information relating to the review of a decision.
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Form 78 – Change of details/replacement licence for demolition work
A form completed to change the make a change of details, or request a replacement licence for demolitian work.
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Form 275 Notice of claim for damages
A twelve page form, last updated 2018
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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.
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Application to add remove a member to from group self insurance licence.pdf
Application to add/remove a member to/from a group self insurance licence
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Form 14 - Application for registration of plant design
Designer statement and declaration for plant design registration (parts 4 and 5 of Form 14).