Current Documents
Privacy Statement
Applies for ACT, NT, Tas and WA only.
Applies for ACT, NT, Tas and WA claims only.
Applies for NSW Claims only.
Brochures and Forms
Access the latest Workers Compensation brochures and forms.
Policy Documents
Forms
- Initial Notification of Injury
- Wages Reimbursement Schedule
- Treatment Request Template
- Witness Statement Summary
- Employee's claim Form
- Employer's report of injury
- New Business Proposal Form
- Domestic Workers Proposal Form
- Declaration of Estimated Wages
- Declaration of Actual Wages
Brochures & Guides
Policy Documents
Forms
- Worker’s Claim for Compensation Form
- Dependants of Deceased Workers Claim Form
- Section 33A Notice - Notice of Right to Make a Workers Compensation Claim
- Initial Notification of Injury
- Register of Injury Template
- Declaration of Estimated Wages
- Declaration of Actual Wages
- New Proposal Form
- Domestic Workers Proposal Form
Brochures & Guides
Policy Documents
Forms
- NIBA Workers' Compensation Claim Insurance Broker Consent Authority
- Employer’s Report of Injury
- Employee Claim Form
- Compensation Reimbursement Employer
- Statement of Witness
- Journey Claim Form
- Recurrence of Injury Claim Form
- WA New Business Proposal Form
- WA New Business Domestic Proposal Form
- Declaration of Estimated Remuneration
- Declaration of Actual Remuneration
Brochures & Guides
- Definition of Remuneration Wages Summary
- Remuneration Guidelines for Workers Compensation Insurance Policies document
- Important Information Declaration of Remuneration
General Information
Policy Documents
Forms
- Medical certificate of capacity – First
- Medical certificate of capacity – Progress
- Medical certificate of capacity – Final
- Workers Compensation Claim Form
- New Business Proposal Form
- Domestic Workers Proposal Form
- Declaration of Estimated Wages
- Declaration of Actual Wages
Brochures & Guides
Forms
- Pre-Injury Average Weekly Earnings Form
- Initial Weekly Rate Calculator
- Travel Expense Claim Form
- Claim For Reimbursement
- Worker's Injury Claim Form
- Employer's Injury Claim Form
- Permanent Impairment Claim Form
- Other Work Related Injuries Claim Form
- Notification of Injury/Illness
Brochures & Guides
Still Looking?
If you can't find the policy document or form you're looking for, please contact your local Vero representative.
