Workers’ Compensation Forms & Downloads - CGU

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For Employers

Policy forms

Insurance Proposal (287kb)

Declaration of estimated wages (258kb)

Declaration of actual wages (250kb)

Direct debit request form (for instalments) (113kb)

Cancellation of policy request form (462kb)

Request for Certificate of Currency and Statement of Wages (176kb)

Claim forms

Initial notification of injury (156kb) or online

Employers report of injury (362kb)

Wage Information Form (760kb)

WorkCover register of injuries (352kb)

Wage reimbursement agreement (93kb)

Employers Return to Work Plan (277kb)

Partially incapacitated wage reimbursement form (83kb)

Totally incapacitated wage reimbursement form (103kb)

Information

Workers’ compensation toolkit for small business (1791kb)

Cross Border Guide (164kb)

Employers Guide to Developing a Return to Work Plan (277kb)

NSW Employers Policy (374kb)

Customer feedback policy (48kb)

Insurance Premium Order (1165kb)

Premium Forms Definitions (154kb)

Injury Management Program (663kb)

Customer feedback form

Watching Out For You poster (416kb)

Wages Definition Manual (2121kb)

For Employees

Forms

Initial notification of injury (156kb) or online

Travel reimbursement form (119kb)

Worker’s injury claim form (468kb)

Customer feedback form

Worker’s journey claim (260kb)

Information

Customer feedback policy (48kb)

For Service Providers

Forms & Information

Wages Definition Manual (2121kb)

Customer feedback form

Customer feedback policy (48kb)

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