Certain forms are prescribed by the Workers’ Compensation and Injury Management Regulations 1982.
As prescribed forms, their format cannot be altered. Where a form is required at a particular stage in the process, it should be filled out in the format provided.
If you need assistance completing a form, contact Advice and Assistance on 1300 794 744.
- Form 1 – Election for Schedule 2 injuries under Part III Division 2 (PDF – 20kb)
- Form 1A – Election for Schedule 2 injuries under Part III Division 2A (PDF – 20kb)
- Form 15C – Memorandum of Agreement (PDF – 203kb)
- Form 15D – Statement of the consequences of the recording of a Memorandum of Agreement (PDF – 20kb)
- Form 15E – Notice disputing Memorandum of Agreement, or objecting to its being recorded (PDF – 70kb)
