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Forms & Downloads

Forms and downloads for NSW employers, employees and service providers.


For Employers

Policy forms

icon Insurance Proposal (287kb)
icon Declaration of estimated wages (258kb)
icon Declaration of actual wages (250kb)
icon Direct debit request form (for instalments) (113kb)
icon Cancellation of policy request form (462kb)
icon Request for Certificate of Currency and Statement of Wages (176kb)

Claim forms

icon Initial notification of injury (156kb) or online
icon Employer injury claim form (362kb)
icon Calculating Pre-injury Average Weekly Earnings (760kb)
icon EFT authority form (240kb)
icon WorkCover register of injuries (352kb)
icon Wage reimbursement agreement (93kb)
icon Employers Return to Work Plan (277kb)
icon Partially incapacitated wage reimbursement form (for claims received prior to 1/10/12, excluding transitioned claims) (83kb)
icon Totally incapacitated wage reimbursement form (for claims received prior to 1/10/12, excluding transitioned claims) (103kb)
icon Weekly Payment Reimbursement Request (for claims received on or after 1/10/12, including transitioned claims) (103kb)

Information

icon Your Guide to NSW Workers Compensation - Information for Employers (444kb)
icon Cross Border Fact Sheet (66kb)
icon Employers Guide to Developing a Return to Work Plan (277kb)
icon NSW Employers Policy (374kb)
icon Complaints handling brochure (48kb)
icon Insurance Premium Order (1165kb)
icon Premium Forms Definitions (154kb)
icon Injury Management Program (663kb)
icon Customer feedback form
icon Watching Out For You poster (416kb)
icon A Guide for NSW Employers (215kb)
icon Wages Definition Manual (2121kb)
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