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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 -
Form 87R Declaration
The declaration is to be used when there is no doctor available to attend the worker.
PDF 735.47 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 -
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Form 28 - Hazardous chemicals health monitoring report
Under the Work Health and Safety Regulation 2011 where health monitoring is required for a hazardous chemical, the PCBU must send a copy of the health monitoring report to Workplace Health and Safety Queensland in certain circumstances.
PDF 180.08 kB 18 April 2024 -
Form 132M Work capacity certificate - workers' compensation
To be completed by treating practitioner
PDF 208.39 kB 28 August 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 -
Authority to Release WorkCover Queensland file to a third party
This form is to obtain consent for WorkCover Queensland to provide certain information about you, to a third party (i.e. your insurer or their legal representative, superannuation fund etc.), in relation to your WorkCover claim/s
PDF 168.11 kB 28 August 2020