Forms

Form 133/133A: Employer reporting - Injury that may be compensable (reportable injuries)

Form for employers to report injuries that may be compensable (reportable injuries)

FM106 Claim Form

Use this form to make a claim with WorkCover Queensland or your self-insurer for a work-related illness or injury.

Compliment or complain about our services

We are committed to excellent customer service. Both positive and negative feedback helps us to provide better services to our stakeholders. Complaints about our services are taken seriously and we follow a clear process to try and resolve your issue.

Health and safety checklist for working from home

Checklist to assess WHS risks for working from home arrangements.

Form 39 - Completion statement by registered training organisation (RTO) and employer

Completion statement by registered training organisation (RTO) and employer

Form 106 - Queensland health and safety representative (HSR) training provider application

Form 106 - Queensland health and safety representative (HSR) training provider application

Service provider application form

Form 301: Completing this form does not guarantee referrals from WorkCover Queensland.

Online services injury and payment profile database - Terms and conditions

Terms and conditions for the OIR Online services injury and payment profile database.

Form 325B - Application for a lung disease examination

An application form for a lung disease confirmation examination under the Worker's Compensation and Rehabilitation Act 2003.

Queensland Workers Memorial Honour Roll application and eligibility criteria

Queensland Workers Memorial Honour Roll application and eligibility criteria.

Authorisation of administrator user

Authorisation of administrator user representative for a third party organisation

Healthy worker funding program application form

Application form for high-risk industries for work health funding program