How do I make a workers compensation claim?

If you have sustained an injury in the course of employment you must undertake the following steps:

Step 1. Notify the employer of the injury as soon as possible

Step 2. Record the injury in the employer’s register of injuries

Step 3. Obtain a Work Cover Medical Certificate of Capacity from your general practitioner or hospital

Step 4. Notify the insurer of the injury (the insurer’s details are obtained from the employer who must provide the name when requested)

Step 5. Ensure that the Work Cover Certificate of Capacity and all Medical bills or expenses are given to the employer and a copy to the insurer

Once the scheme agent/insurer has been notified of an injury, the following will occur:

  • The insurer will contact the worker and employer;
  • The insurer will review the claim and commence provisional liability payments which must start within 7 days of receiving notification of the injury

If the insurer has a reasonable excuse not to commence provisional liability payments the insurer must notify the worker within 7 days of receiving the notification of injury.

A claim form is only required if:

  • The insurer has a reasonable excuse not to commence provisional liability payments
  • Weekly payments exceed the 12 week provisional liability period
  • Provisional expenses exceed $7500 and there is not sufficient information to determine ongoing liability
  • The injury has been notified but there is insufficient information to determine liability