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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 -
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 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.
PDF 2.5 MB 13 April 2021 -
Form 17 - Application for internal review of decision
Complete this form to apply for an internal review of decision under the Work Health and Safety Act 2011, Work Health and Safety Regulation 2011, Electrical Safety Act 2002 or Safety in Recreational Water Activities Act 2011.
PDF 278.16 kB 25 October 2021 -
Form 79.1 - Application for renewal single employer self insurance licence
Application for renewal - single employer self-insurance licence
PDF 703.92 kB 28 August 2020 -
Form 15 - Change of details or replacement card for an electrical work licence
Change of details or replacement card for an electrical work licence
PDF 136.24 kB 15 April 2021 -
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.
PDF 2.5 MB 13 April 2021 -
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 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