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OHS & WorkCover

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  • Health and Safety
  • OHS Hazards
  • Report an Injury, Incident or Hazard
  • WorkCover & Return to Work
    • Managing WorkCover
    • WorkCover Leave & Payroll Procedures for HRMS
    • Rehabilitation & Return to Work
    • WorkCover Policy Guide
    • Procedures & Forms
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Home > Occupational Health and Safety > Workers Compensation and Return to Work > Procedures and Forms
Occupational Health & Safety

WorkCover Procedures and Forms

Procedures

Claims management procedure (PDF - 47Kb)  

Dispute resolution procedure (PDF - 23Kb)  

Non-employee WorkCover Claims (PDF - 24Kb)  

Other Sources of Advice and Support (PDF - 29Kb)  

Completing the Employer Section of the Workers Injury Claim Form (PDF - 48Kb)  

WorkCover Leave & Payroll Procedures (PDF - 48Kb) (HRMS)  

Rehabilitation & Return to Work Procedures (PDF - 35Kb)  

WorkCover and You (PDF - 45Kb) (For employees)

WorkCover Management Kit (PDF - 584Kb) (Download all Procedures in Kit Form)

Forms

Workers Injury Claim Form (WorkCover Link)

Employer Injury Claim Report Form (WorkCover Link)

WorkCover Document Cover Sheet (PDF - 76Kb)  

WorkCover Circumstance Report (PDF - 100Kb)  

WorkCover Certificate Attachment Form (PDF - 40Kb)

Early Rehabilitation Referral Letter (Word - 32Kb)   

Request for Rehabilitation Services (PDF - 60Kb)  

WorkCover Return to Work Plan (PDF - 33Kb)  

Offer of Suitable Employment (PDF - 23Kb)  

Worker Return to Work Notification Form (PDF - 43Kb)  

Risk Management & Occupational Rehabilitation Program Statement (PDF - 62Kb) (for Schools) 

Risk Management & Occupational Rehabilitation Program Statement (PDF - 56Kb) (Non-School workplaces) 

About this page

  • Contact: DEECD
  • Website Created on: July 21, 2006
  • Page Last Updated: October 8, 2009
  • © State of Victoria (Department of Education and Early Childhood Development), 2007
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