This section contains the rules and forms related to commencing and progressing an application for conciliation with the Workers’ Compensation Conciliation Service.Conciliation rules
All parties to a dispute need to comply with the Conciliation Rules.
WorkCover WA provides an online lodgement facility for submitting applications for conciliation. An electronically writeable and printable version of the Form 100 – Application for Conciliation for use by unrepresented workers or uninsured employers, or when the online system is unavailable, is below.
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 100 – Application for Conciliation (PDF – 404kb)
Form 104 – Notice of Representation (PDF – 244kb)
Form 105 – Multiple Respondent Form (PDF – 266kb)
Form 106 – Notice of Discontinuance (PDF – 210kb)
Form 107 – Memorandum of Consent to Finalising Order (PDF – 242kb)