Asbestos compensation guidance and forms

Form 1: Asbestos-Related Diseases - Claim for Compensation (Worker) PDF, 1.7 MB

This form should be completed by the worker

ID: GF022 | Date: 03/2012


Form 2: Asbestos-Related Diseases - Claim for Compensation (Member of the Family) PDF, 1.3 MB

This form should be completed by a member of the family.

ID: GF023 | Date: 03/2012


Form 3:Medical services claim form PDF, 614.9 KB

Use this form if you want to claim for the cost of medical treatment you have received

ID: GF024 | Date: 03/2012


Form 4: Request to change bank account and/or personal details PDF, 218.0 KB

The Claimant should use this form to make a request to change bank account details or to amend/update personal details

ID: GF025 | Date: 03/2012


Form 5: Extension of time to lodge application PDF, 311.4 KB

This form should be completed by the worker or family member

ID: GF026 | Date: 03/2012


Form 6: Funeral benefit claim form PDF, 354.3 KB

Use this form to apply for a funeral benefit

ID: GF027 | Date: 01/2011


Form 7: Notice of Receipt of Compensation Under Other Legislation PDF, 306.7 KB

Complete this notification within 20 business days of receiving the other compensation.

ID: GF028 | Date: 03/2012


Form 8: Notice of common law action PDF, 374.6 KB

To be completed by the worker or member of the family

ID: GF029 | Date: 03/2012


Form 9a: Initial medical certificate for asbestos-related diseases compensation PDF, 533.8 KB

Form 9a: Initial Medical Certificate for ASBESTOS-RELATED DISEASES Compensation

ID: GF038 | Date: 03/2012


Form 9b: Ongoing Medical Certificate for ASBESTOS-RELATED DISEASES Compensation PDF, 477.4 KB

Form 9b: Ongoing Medical Certificate for ASBESTOS-RELATED DISEASES Compensation

ID: GF039 | Date: 03/2012


Attendance at medical appointments PDF, 232.1 KB

This information is in connection with a claim for compensation. Please read the information carefully as it sets out your rights and obligations in relation to this medical appointment.

ID: IS224 | Date: 01/2011


Member of family of deceased worker application process PDF, 200.9 KB

Flow chart of the application process for the family member of the deceased worker

ID: IS226 | Date: 01/2011


Worker application process (Flow chart) PDF, 288.0 KB

Worker application process flow chart

ID: IS225 | Date: 01/2011


Asbestos Compensation in Tasmania - A Guide PDF, 1.7 MB

This guide will assist you in understanding the asbestos compensation scheme in Tasmania and how it works.

ID: GB283 | Date: 03/2012


Asbestos Compensation in Tasmania (Brochure) PDF, 1.9 MB

The asbestos compensation scheme provides compensation under the Asbestos-Related Diseases (Occupational Exposure) Compensation Act 2011 to a worker who develops an asbestos-related disease as a result of exposure to asbestos during the course of their work in Tasmania.

ID: IS222 | Date: 01/2012