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Changes to approved forms from 1 July 2025

A range of new approved forms, updated after WorkCover WA conducted an extensive review and consultation process, come into operation 1 July 2025. The new approved forms can be accessed from the Legislative Framework: Approved Instruments, Forms and Notices page.

The following approved forms have been updated:

  • SF1 – Settlement Agreement
  • SF3 – Permanent Impairment Notice
  • CN1 – Intention to Reduce or Discontinue Income Compensation – Consent
  • CN2 – Intention to Reduce or Discontinue Compensation – Return to Work
  • CN6 – Custody or Imprisonment Notice
  • APIA3 – Permanent Impairment Assessment Requirement to Attend
  • APIA4 – Permanent Impairment Assessment – Provision of Information
  • APIA 5 – Permanent Impairment Assessment Consent to Provision of Information
  • CF2 – NIHL Compensation Claim Form
  • NIHL1 – NIHL Audiological Test Report
  • NIHL3 – Worker Noise Exposure and Employment History

To ensure the continuing smooth operation of the Act, the updated approved forms on the WorkCover WA website should be used from 1 July 2025. Previous versions of the approved forms should no longer be used.

Page last updated: 30 June 2025 at 4:08 pm

wa.gov.au

Acknowledgement of Country

WorkCover WA acknowledges the traditional custodians throughout Western Australia and their continuing connection to the land, waters and community. We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders both past and present.