Have you been injured at work?  If you have incurred medical expenses or require time off work, you need to complete a worker’s injury claim form and provide it to your employer.

Printed forms are available at the post office or one of our offices.  You can also download a copy via this link.

If you require time off work, it is essential to see a doctor and request a medical certificate known as a WorkCover certificate of capacity.  For this certificate to be valid you must sign the consent section and the worker’s declaration on the back.

Sample of a completed form

For important tips about how to complete your worker’s injury claim form, click here to view a sample form.

Where to send your form

As soon as possible following your injury, you must provide your employer:

  • worker’s injury claim form
  • WorkCover certificate of capacity
  • bills or receipts of treatment.

You can hand deliver these documents to your employer or post it.  Your employer must forward the documents to the WorkSafe Agent within 10 calendar days of receiving them.

If you experience any difficulty giving your claim to your employer, or your employer refuses to accept the documents, you can send the paperwork directly to WorkSafe.

Getting a response

You can expect to receive a written response from the WorkSafe Agent within 28 days from the date they received the claim.

Uninsured employers

If you have been injured and your employer is uninsured, you can still make a claim for workers compensation.

Further assistance

If you need assistance in completing your claim form or further information about your entitlements, please contact one of our expert injury lawyers on (03) 9321 9988.


No Win, No Fee

If we proceed with a claim you only have to pay legal costs if we are successful in getting you compensation.

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