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Group training record
A sample form to use in recording workers' training
DOCX 17.62 kB 28 August 2020 -
EFT Payment Form FM204
Complete this form to get paid (electronic funds transfer).
PDF 36.91 kB 28 August 2020 -
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.
DOC 35.33 kB 28 August 2020 -
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Worker determination form
This form is for use by policy holder/employer.
DOC 941.57 kB 28 August 2020 -
Request for surgery FM302
Request for surgery approval - This form is only to be used for claims where WorkCover Queensland is the insurer.
PDF 120.11 kB 18 March 2021 -
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.
DOC 686.08 kB 28 August 2020 -
Whiplash disability questionnaire
This questionnaire has been designed to provide information on the impact that your whiplash injury and symptoms have upon your lifestyle.
PDF 87.6 kB 28 August 2020 -
Request for Specialised Program FM303
Request for Specialised Program FM303. This form is to only be used for claims where specialised programs are required at a private hospital.
PDF 118.38 kB 1 November 2021 -
Form 32 Provider management plan
A form template for the medical provider to submit an injured worker's treatment plan details to the worker's compensation insurer.
PDF 39.93 kB 28 August 2020 -
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.
PDF 247.08 kB 28 August 2020