Workers
Forms
- Authority and consent for release of medical records (PDF, 80.5 KB)
- Claim form for dependents of deceased workers (PDF, 80.5 KB)
- Notice of right to make workers compensation claim (PDF, 168.6 KB)
- Workers compensation claim form (PDF, 194.9 KB)
Guides
- After a workplace death: A support guide for families, friends and work colleagues (PDF, 378.6 KB)
- Guide to workers rehabilitation and compensation: For claims on or after 1 July 2010 (PDF, 373.0 KB)
- Independent medical examinations (PDF, 144.6 KB)
- Injury management: Making it work
- The benefits of returning to work
- Workers Compensation Handbook: The Basics (PDF, 175.5 KB)
- Workers Rehabilitation and Compensation Act Summary (PDF, 166.8 KB)
Employers
Forms
- Authority and consent for release of medical records (PDF, 80.5 KB)
- Notice of right to make workers compensation claim (PDF, 168.6 KB)
- Workers compensation claim form (PDF, 194.9 KB)
Guides
- After a workplace death: A support guide for families, friends and work colleagues (PDF, 378.6 KB)
- Guide to workers rehabilitation and compensation: For claims on or after 1 July 2010 (PDF, 373.0 KB)
- Independent medical examinations (PDF, 144.6 KB)
- Injury management: Making it work
- Preparing injury management plans (PDF, 217.8 KB)
- Preparing return to work plans (PDF, 187.1 KB)
- Suggested premium rates 2020-21 (PDF, 463.2 KB)
- The benefits of returning to work
- Workers Compensation Handbook: The Basics (PDF, 175.5 KB)
- Workers Rehabilitation and Compensation Act Summary (PDF, 166.8 KB)
- Guideline for preparing return to work plans and injury management plans (PDF, 218.4 KB)
Medical practitioners
Forms
Guides
- Clinical Framework for the Delivery of Health Services: WorkSafe Victoria (external link)
- How to complete workers compensation medical certificates correctly (PDF, 881.3 KB)
- Managing workplace injuries in Tasmania: A handbook for primary treating medical practitioners (PDF, 731.9 KB)
- The benefits of returning to work
Medical practitioners accredited to assess impairment
Forms
- Application for accreditation to assess the degree of a workers impairment (PDF, 181.2 KB)
- Permanent impairment assessment report template (DOT, 198.0 KB)
- Tasmanian core module (permanent impairment assessment training package) (PDF, 350.0 KB)
Guides
- Guidelines for the assessment of permanent impairment: version 3 (PDF, 463.7 KB)
- Guidelines Independent Medical Examinations (PDF, 177.8 KB)
- Information sheet Independent Medical Examinations (PDF, 144.6 KB)
Workplace rehabilitation providers
Forms
- Application for approval as a WRP form (external link)
- Corrective action plan template (DOCX, 45.2 KB)
- Declaration of conformance, using Application Renewal for Approval as WRP Form, Appendix 3 (external link)
- MDGuidelines online application form
- Self-evaluation plan (DOCX, 55.6 KB)
- Self-evaluation report using Evaluation tool (external link)
- Tasmanian additional requirements to operate as a WRP form (DOCX, 85.3 KB)
- WRP staff details sheet (DOCX, 34.9 KB)
Guides
- Evaluation manual: for approved workplace rehabilitation providers (external link)
- Guide: Nationally consistent approval framework for workplace rehabilitation providers (external link)
- Preparing injury management plans (PDF, 217.8 KB)
- Preparing return to work plans (PDF, 187.1 KB)
- The benefits of returning to work
- Information sheet for rehabilitation providers (RP-1) (PDF, 204.1 KB)
- Guideline for preparing return to work plans and injury management plans (PDF, 218.4 KB)
Injury management co-ordinators
Forms
Guides
- Health benefits of good work: Royal Australasian College of Physicians (RACGP) (external link)
- Preparing injury management plans (PDF, 217.8 KB)
- Preparing return to work plans (PDF, 187.1 KB)
- The benefits of returning to work
- Guideline for preparing return to work plans and injury management plans (PDF, 218.4 KB)
Licensed insurers
Forms
- G-3 End of Year Reconciliation Certificate (DOCX, 260.4 KB)
- G-5 Insurer form - Independent audit report template (DOC, 150.5 KB)
- Injury management program application form (DOCX, 913.3 KB)
- Licensed insurer form - Application (DOC, 138.5 KB)
- Licensed insurer: Audit process and audit tool V2, Sep 2019 (DOCX, 318.3 KB)
- MDGuidelines online application form
Guides
- Clinical Framework for the Delivery of Health Services: WorkSafe Victoria (external link)
- Determination V1 as at 2 August 2013 (PDF, 60.4 KB)
- Development of suggested premium rates 2020-21 (PDF, 7.7 MB)
- Guidelines for Licenced/Self Insurers for developing an Injury Management Program Version 3, 2019 (PDF, 321.5 KB)
- Guidelines Independent Medical Examinations (PDF, 177.8 KB)
- Health benefits of good work: Royal Australasian College of Physicians (RACGP) (external link)
- Information sheet Independent Medical Examinations (PDF, 144.6 KB)
- Injury management - making it work
- Licensed Insurer Licence Conditions
- NIDS V8.0 (DOCX, 239.8 KB)
- Suggested premium rates 2020-21 (PDF, 463.2 KB)
- The benefits of returning to work
Self-insurers
Forms
- G-3 End of Year Reconciliation Certificate (DOCX, 260.4 KB)
- G-5 Insurer form - Independent audit report template (DOC, 150.5 KB)
- Injury management program application form (DOCX, 913.3 KB)
- MDGuidelines online application form
- Self-insurer form - Deed and Schedule 1 Irrevocable Power of Attorney (DOC, 89.0 KB)
- Self-insurer form - financial undertaking (DOC, 38.5 KB)
- Self-insurer form - permit application (DOC, 133.0 KB)
- Self-insurer: Audit process and audit tool V2 (DOCX, 309.4 KB)
Guides
- Calculating the notional premium (PDF, 124.5 KB)
- Clinical Framework for the Delivery of Health Services: WorkSafe Victoria (external link)
- Determination V1 as at 2 August 2013 (PDF, 60.4 KB)
- Guidelines for Licences/Self Insurers for developing an Injury Management Program Version 3, 2019 (PDF, 321.5 KB)
- Guidelines Independent Medical Examinations (PDF, 177.8 KB)
- Health benefits of good work: Royal Australasian College of Physicians (RACGP) (external link)
- Information sheet Independent Medical Examinations (PDF, 144.6 KB)
- Injury management - making it work
- National Self-Insurer OHS Management System Audit Tool Version 3 (PDF, 6.8 MB)
- NIDS V8.0 (DOCX, 239.8 KB)
- Self Insurer Permit Conditions (PDF, 77.9 KB)
- The benefits of returning to work
Tasmanian State Service Agencies
Forms
Guides
- Clinical Framework for the Delivery of Health Services: WorkSafe Victoria (external link)
- Guidelines Independent Medical Examinations (PDF, 177.8 KB)
- Health benefits of good work: Royal Australasian College of Physicians (RACGP) (external link)
- Information sheet Independent Medical Examinations (PDF, 144.6 KB)
- Injury management - making it work
- Preparing injury management plans (PDF, 217.8 KB)
- Preparing return to work plans (PDF, 187.1 KB)
- Tasmanian State Service Agencies Guidelines for developing an Injury Management Program, Version 1, September 2014
- Tasmanian State Service Guidelines for developing an Injury Management Program, Version 2, 2020 (PDF, 188.4 KB)
- The benefits of returning to work
- Guideline for preparing return to work plans and injury management plans (PDF, 218.4 KB)