Advice & Assistance 1300 794 744 – 8.30am – 4.30pm

➤ Skip to main content

Advice & Assistance 1300 794 744 – 8.30am – 4.30pm

  •  
  • Non-English
  • Sitemap
  • Accessibility
  • Contact us

➤ Whole of WA Government search

The Government of Western Australia | WorkCoverWA

WorkCover WA

  • about us
    • At a glance
      • Our commitment to the scheme
      • Strategic direction
      • Organisational structure
    • Dispute services
    • Regulatory services
    • Governance
      • Public Interest Disclosure/Reporting Misconduct
      • Request Access to Information
    • Careers
    • Contact us
  • workers
    • Understanding your rights, obligations and entitlements
      • Making a claim
      • Receiving compensation
      • Dust diseases
      • Permanent impairment
      • Common law claims
      • Settlements
      • Residing outside of Western Australia
      • Provisional payments
    • Resolving a dispute
    • Noise induced hearing loss
    • Return to work
      • Workplace rehabilitation providers
    • Workplace fatality claims
    • Silicosis claims
    • Resources and support
    • FAQs
  • employers
    • Understanding your rights and obligations
      • Covering your workers
      • Reporting accidents and dust diseases
      • Injury management systems
      • Settlements
      • Employer Compliance Policy
      • Labour hire employers
    • Getting and managing your insurance policy
      • Engaging a licenced insurer
      • Understanding your insurance premium
    • Noise induced hearing loss
    • How to seek a premium and/or industry classification review
    • Receiving and managing claims
    • Return to work
      • Workplace rehabilitation providers
    • Resolving a dispute
    • Compliance activities
      • Archived prosecutions
    • Education and resources
    • FAQs
  • health providers
    • Clinical Framework
    • General Practitioners
    • Allied health providers
    • Approved permanent impairment assessors
      • How to become an approved permanent impairment assessor
      • Impairment assessment forms
    • Workplace rehabilitation providers
    • Physiotherapy Treatment Management Plan
    • Authorised Audiologists and ENT Specialists
    • Applying fees and codes
    • PBS medications
    • Resolving a dispute
    • FAQs
    • WorkCover WA Online FAQs
  • service providers
    • Insurers
      • Bulletins
      • WorkCover WA Online Insurer
    • Self-insurers
      • Bulletins
      • WorkCover WA Online Self-Insurer
    • Insurer and Self-insurer Principles and Standards of Practice
    • Insurance brokers
    • Registered Independent Agents
    • Legal practitioners
    • WorkCover WA Online FAQs
  • resources
    • Legislative Framework: Approved Instruments, Forms and Notices
    • Legislative Review and Amendments
    • Annual reports
    • Forms and publications
    • Rates, fees and payments
      • Previous years’ fees
      • GST information
    • Reports and statistics
    • Appeal court decisions
    • Educational videos
    • Online learning
    • Noise induced hearing loss
    • Campaigns
      • Don’t bet your business on “pretty sure”
You are here: Home » Resources » Forms and publications » Worker forms » Workers common law forms

Workers common law forms

Common law election form
This form is used when you are pursuing a common law claim against your employer.


Common law dust disease – permanent impairment agreement

➤ Back to home

Resources

Quick Access

Page last updated: 21 June 2024 at 11:48 am

About us

  • At a glance
  • Dispute services
  • Governance
  • Careers
  • Submit feedback
  • Subscribe

Contact us

Advice and Assistance: 1300 794 744
(8.30am - 4.30pm Monday to Friday)
Switchboard: (08) 9388 5555

Enquiries:
Contact us enquiry form or
Email: records@workcover.wa.gov.au

Location

WorkCover WA
2 Bedbrook Place
Shenton Park WA 6008

wa.gov.au
  • Home
  • Privacy
  • Disclaimer
  • Minister’s homepage

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.

  • Home
  • About us
  • Workers
  • Employers
  • Health providers
  • Service providers
  • Resources