Asbestos compensation forms and guides

Workers and family members: Guides

• Information sheet: Attendance at medical appointments (PDF, 210.3 KB)

  For asbestos compensation. Explains the rights and obligations for people requested to attend a medical examination.

• Guide to Asbestos Compensation in Tasmania (PDF, 1.7 MB)

  Explains the asbestos compensation scheme and laws in Tasmania, who is entitled to compensation, making a claim, benefits, disputes and more.

• Member of family of deceased worker application process (PDF, 200.9 KB)

  Shows the process for applying for asbestos compensation by a family member of a deceased person in flow chart form.

• Tasmania Asbestos Compensation Information (PDF, 336.1 KB)

  Summarises the asbestos compensation scheme and laws in Tasmania, who is entitled to compensation, making a claim and benefits.

• Worker application process (Flow chart) (PDF, 288.0 KB)

  Shows the process for applying for asbestos compensation in flow chart form.

Workers and family members: Forms

• Form 1: Asbestos-related diseases: claim for compensation (worker) (PDF, 1.7 MB)

  Aimed at workers. Use this form to make a claim for asbestos compensation.

• Form 2: Asbestos-related diseases: claim for compensation (member of the family) (PDF, 1.3 MB)

  Aimed at family members of a deceased worker. Use this form to make a claim for asbestos compensation.

• Form 3: Medical services claim form (PDF, 614.9 KB)

  For asbestos compensation. Use this form to claim for the cost of medical treatment you have received.

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

  For asbestos compensation. Use this form to change your bank account or other personal details lodged with the Asbestos Compensation Commissioner

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

  For asbestos compensation. Use this form to apply to extend the time you have to lodge an application for compensation.

• Form 6: Funeral benefit claim form (PDF, 354.3 KB)

  For asbestos compensation. Use this form to apply for funeral benefits.

• Form 7: Notice of receipt of compensation under other legislation (PDF, 306.7 KB)

  For asbestos compensation. Use this form to notify the Asbestos Compensation Commissioner if you have applied for asbestos compensation, but receive compensation under another scheme.

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

  For asbestos compensation. Use this form to notify the Asbestos Compensation Commissioner of any common law damages you receive.

Medical practitioners

• Asbestos-related diseases - Medical practitioner guidance material (PDF, 1.6 MB)

  Provides information for non-specialist medical practitioners, medical specialists and accredited impairment assessors on Tasmania's asbestos compensation scheme.

• Information sheet: Attendance at medical appointments (PDF, 210.3 KB)

  For asbestos compensation. Explains the rights and obligations for people requested to attend a medical examination.

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

  For asbestos compensation. Medical specialists are to use this form for workers with an asbestos-related disease.

• Form 9b: Ongoing medical certificate for asbestos-related diseases compensation (PDF, 477.4 KB)

  For asbestos compensation. Medical specialists are to use this form for workers with an asbestos-related disease.

Medical panels

• Asbestos-related diseases - Medical panel guidance material (PDF, 1.5 MB)

  Information for medical panel members on Tasmania's asbestos compensation scheme, including medical questions, process and obligations.

• Form 10: Medical panel proforma: panel member (worker) (PDF, 305.8 KB)

  For asbestos compensation. For use by members of a medical panel for worker details.

• Form 11: Medical panel proforma: panel member (member of the family) (PDF, 307.7 KB)

  For asbestos compensation. For use by members of a medical panel for family member details.

• Form 12: Medical panel proforma: panel member (medical and other expenses) (PDF, 239.6 KB)

  For asbestos compensation. For use by members of a medical panel for medical and other expenses details.

• Form 13: Medical panel proforma: chair of panel (worker) (PDF, 310.0 KB)

  For asbestos compensation. For use by the chair of a medical panel for worker details.

• Form 14: Medical panel proforma: chair of panel (member of the family) (PDF, 311.4 KB)

  For asbestos compensation. For use by the chair of a medical panel for family member details.

• Form 15: Medical panel proforma: chair of panel (medical and other expenses) (PDF, 239.8 KB)

  For asbestos compensation. For use by the chair of a medical panel for medical and other expenses details.

• Form 16: Medical panel tax invoice (PDF, 238.4 KB)

  For asbestos compensation. To be used by medical panel members.

• Medical panel process (Flow chart) (PDF, 286.4 KB)

  Shows the process for a medical panel in flow chart form.

Asbestos Levy

• Levy Amounts Return Form (DOCX, 29.6 KB)