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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 -
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 -
Health and safety checklist for working from home
Checklist to assess WHS risks for working from home arrangements.
PDF 222.78 kB 6 April 2022 -
Form 39 - Completion statement by registered training organisation (RTO) and employer
Completion statement by registered training organisation (RTO) and employer
PDF 55.43 kB 28 August 2020 -
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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 -
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 -
Right to Information and Information Privacy - Internal review application form
Form 213. Use this form to request an internal review of a decision that has been made on your application.
DOC 663.04 kB 28 August 2020