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The Government of Western Australia | WorkCoverWA
The Government of Western Australia

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You are here: Home » Resources » Forms and publications » Worker forms » Workers common law forms

Workers common law forms

  • Form 34: Election to Retain the Right to Seek Damages (Word – 67kb)
    This form is used when you are pursuing a common law claim against your employer.


  • Form AMS 1: Request for Assessment by AMS of Degree of Permanent Impairment (Word – 50kb)
    This form is used when requesting an Approved Medical Specialist to assess the degree of your permanent impairment.

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Page last updated: 4 March 2022 at 12:46 pm

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