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Workers’ Compensation Claim Form

For serious injuries please call our office immediately on (08) 9433 3400. Before calling, please have the following information ready:

  • Your contact details
  • Workers name, address and date of birth
  • The treating doctors name
  • Details of the accident or incident

Important Information From WorkCover

The prescribed form for making a claim for workers’ compensation is Workers' Compensation Claim Form 2B (REG 6AA). For work related injuries, an employer or injured worker may download the form, to be completed in duplicate by both the injured worker and the employer as indicated.

Injured Workers

The more information you provide, the faster claim can be progressed. When completing this form please print clearly and answer all questions.

Attach your first medical certificate and any other relevant documents and give the form to your employer as soon as possible after the incident. Keep a copy of the information attached to the completed form for future reference.

Form 2B Workers' Compensation Form 2B Workers' Compensation (498 KB)


On receipt of the completed claim form from the injured worker, complete the employer section and forward to your insurer within 3 days, with the first medical certificate and any other attached documents .

Ensure the injured worker retains a copy of the first two pages which contain important information about the claims process and entitlements.

If the first medical certificate indicates the injured workers will be unable to work or perform normal duties for more than 3 days, complete the medical practitioner section attached to the claim form and forward to the treating medical practitioner concerned.

Employer Report Forms

Allianz Allianz (106 KB)

CGU CGU (2091 KB)



Vero Vero (447 KB)

Zurich Zurich (89 KB)

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