Claims and rehabilitation forms
- Aids and Appliances (Excluding Hearing Aids) Claim form (PDF 75.4 KB)
- Alterations to a Place of Residence or Work or Modifications to a Vehicle or Article Claim form (PDF 114.5 KB)
- Authority (or Removal of Authority) to Act on Employee's Behalf form (PDF 67.8 KB)
- Authority and Consent for the Collection and Release of Medical Information Pertaining to my Claim form (PDF 72.8 KB)
- Authority and Consent for the Release of Superannuation Information form (PDF 159.1 KB)
- Certificate of Capacity for Work form (PDF 450.1 KB)
- Cessation of Employment form (PDF 76.5 KB)
- Claim for Time Off Work form (PDF 64.9 KB)
- Claim for Time Off Work Online form
- CSC and Comcare joint authority form (PDF 342KB)
- Customer Information System (CIS) Access Request and Rehabilitation Case Manager update form (PDF 145.2 KB)
- Customer Information System (CIS) Cost Centre Update form (PDF 118.9 KB)
- Customer Information System (CIS) Login
- Customer Information System (CIS) New Customer Creation form (PDF 96.2 KB)
- Exercise as Medical Treatment Claim form (PDF 114.0 KB)
- Hearing Aid Request form (PDF 114.0 KB)
- Household or Attendant Care Services application form (PDF 242.3 KB)
- Incapacity for Work and Record of Earnings (Paid Employment) Claim form (PDF 109.8 KB)
- Incapacity for Work and Record of Earnings (Self Employment) Claim form (PDF 107.8 KB)
- Journey Claim form (PDF 126.0 KB)
- Lump Sum Redemption section 137 application form (PDF 112.1 KB)
- Medical Services Claim form (PDF 185.0 KB)
- Medication Review form (PDF 67.8 KB)
- Normal Weekly Earnings Advice form (PDF 172.3 KB)
- Online Claims Lodgement user guide for employers (PDF 124.5 KB)
- Online Forms Employer Login
- Online Forms Super User quick reference guide (PDF 99.9 KB)
- Online Forms Super User Registration form (PDF 110.4 KB)
- Online Forms Super User Registration reference guide (PDF 106.5 KB)
- Parliamentary Injury Compensation Scheme Claim form (PDF 232.2 KB)
- Pay Start Information form (PDF 180.2 KB)
- Periodic Review form (PDF 154.5 KB)
- Permanent Impairment and Non-economic Loss Compensation Claim form (PDF 141.9 KB)
- Physiotherapy Treatment Plan (PDF 147.8 KB)
- Psychology Extended Consultation Request form (PDF 127.1 KB)
- Psychology Treatment Plan (PDF 105.9 KB)
- Reconsideration Request form (PDF 152.7 KB)
- Register or Update Email and Bank Details Online form for service providers
- Rehabilitation Assessment or Examination form (PDF 286.8 KB)
- Rehabilitation Program Alteration form (PDF 252.2 KB)
- Rehabilitation Program Closure Record form (PDF 412.8 KB)
- Rehabilitation Program form (PDF 312.6 KB)
- Section 45 Election form (PDF 115.3 KB)
- Statement of Financial Circumstances form (PDF 106.4 KB)
- Suitable Duties form (PDF 92.3 KB)
- Update Email and Bank Details Online form for employees
- Work Trial Agreement form (PDF 87.8 KB)
- Work-related Death Compensation Claim form (PDF 229.0 KB)
- Work-related Death Compensation Claim information for employers (PDF 150.7 KB)
- Workers' Compensation Claim form (PDF 190.5 KB)
- Workers' Compensation Online Claim form
Page last reviewed: 03 March 2020