This section contains the rules and forms for commencing and progressing arbitration with the Workers’ Compensation Arbitration Service.
Arbitration rules
The Workers’ Compensation and Injury Management Arbitration Rules 2011 (the Arbitration Rules) support the arrangements for resolving workers’ compensation disputes in Western Australia.
All parties to a dispute need to comply with the Arbitration Rules.
Arbitration forms
Please note all forms need to be printed single-sided. Forms may be printed and completed by hand or electronically filled. Please note you cannot save content to these forms.
- Form 150 – Application for Arbitration (PDF – 354kb)
- Form 150A – Application for Arbitration – Workplace Fatality (PDF – 264kb)
- Form 152 – Application to Extend Time to Lodge an Application for Arbitration (PDF – 298kb)
- Form 153 – Statement of Social and Financial Circumstances (PDF – 321kb)
- Form 154 – Reply to an Application for Arbitration (PDF – 304kb)
- Form 155 – Certificate of Service (PDF – 262kb)
- Form 156 – Interlocutory Application (PDF – 311kb)
- Form 156A – Notice Consenting or Opposing Interlocutory Application (PDF – 237kb)
- Form 157 – Memorandum of Consent Order (PDF – 194kb)
- Form 158 – Order for Production of Documents or Material (PDF – 306kb)
- Form 159 – Summons to Witness (PDF – 204kb)
- Form 161 – Multiple Respondent Form (PDF – 197kb)
- Form 162 – Notice of Representation (PDF – 211kb)
- Form 163 – Notice of Discontinuance (PDF – 213kb)
- Form 164 – Application for Order and/or Assessment of Costs (PDF – 202kb)
- Form 164A – Notice Consenting or Opposing Application for Order and/or Assessment of Costs (PDF – 226kb)
Saveable version for legal practitioners and registered agents
The standard electronically fillable PDF can only be filled and printed. An electronically fillable PDF that can be saved locally to users’ computers is available on request to legal practitioners and registered agents. If you would like to obtain one of these versions contact casforms@workcover.wa.gov.au.
