Notify a workers compensation insurer of a workplace injury or illness claim with this Australian employer claim notification form. Covers all state and territory workers compensation schemes: Workers Compensation Act 1987 (NSW), Workplace Injury Rehabilitation and Compensation Act 2013 (VIC), Workers' Compensation and Rehabilitation Act 2003 (QLD), Workers Compensation and Injury Management Act 1981 (WA), Return to Work Act 2014 (SA), Workers Rehabilitation and Compensation Act 1988 (TAS), Workers' Compensation Act 1951 (ACT), and Return to Work Act 1986 (NT). Includes employer details, worker details, incident description, medical treatment, work capacity, witness statement, WHS notification obligations, and Return to Work Plan initiation.
What Is a Workers Compensation Claim Notification (Australia)?
A Workers Compensation Claim Notification is a formal document by which an employer notifies their workers compensation insurer (or statutory scheme manager) that a worker has suffered a work-related injury or illness and is making or intending to make a workers compensation claim. Workers compensation in Australia is a state and territory-based system, with each jurisdiction having its own legislation, scheme manager, and prescribed forms. The principal Acts are: the Workers Compensation Act 1987 (NSW) and Workplace Injury Management and Workers Compensation Act 1998 (NSW); the Workplace Injury Rehabilitation and Compensation Act 2013 (VIC); the Workers' Compensation and Rehabilitation Act 2003 (QLD); the Workers Compensation and Injury Management Act 1981 (WA); the Return to Work Act 2014 (SA); the Workers Rehabilitation and Compensation Act 1988 (TAS); the Workers' Compensation Act 1951 (ACT); and the Return to Work Act 1986 (NT).
All schemes require employers to maintain workers compensation insurance, promptly notify the insurer when a claim is made, provide the worker with assistance in lodging their claim, and cooperate with the insurer's assessment of the claim. The employer's claim notification typically includes details of the employer and their insurance policy, the injured worker's personal and employment details, the date, time, and location of the incident, a description of the injury or illness and how it occurred, the worker's work capacity as medically certified, and the return to work arrangements being put in place.
Workers compensation is a no-fault scheme, which means that a worker is generally entitled to benefits regardless of whether the employer was at fault for the incident. However, an employer's premium can be affected by the number and cost of claims made against their policy. Employers have strong financial incentives to maintain safe workplaces, support injured workers' recovery, and achieve early safe return to work.
When Do You Need a Workers Compensation Claim Notification (Australia)?
A Workers Compensation Claim Notification must be completed by an employer whenever a worker makes or indicates an intention to make a workers compensation claim for a work-related injury or illness. This includes physical injuries, occupational diseases, and psychological injuries arising from work.
Common situations requiring a workers compensation claim notification include: a worker who suffers a musculoskeletal injury (such as a back strain or shoulder injury) while performing manual handling tasks; a worker who suffers a laceration or fracture as a result of a workplace accident; a worker who develops an occupational disease as a result of exposure to hazardous substances, noise, or other workplace conditions over time; a worker who suffers a psychological injury as a result of workplace stress, bullying, harassment, or a traumatic incident; and a worker who is injured travelling to or from their usual place of work in certain circumstances (journey claims).
Notification is required regardless of whether the employer believes the claim is valid. If the employer wishes to dispute the claim, this is done through the insurer and the applicable dispute resolution mechanisms — it does not affect the obligation to promptly notify the insurer of the claim.
Employers should also be aware that the obligation to notify the workers compensation insurer is separate from (and in addition to) the obligation to notify the workplace health and safety regulator of a notifiable incident under the Work Health and Safety Act 2011 (Cth) or its state equivalents. These are distinct legal obligations with different timeframes and consequences for non-compliance.
What to Include in Your Workers Compensation Claim Notification (Australia)
A complete Workers Compensation Claim Notification should include all of the following elements to satisfy the employer's legal obligations and assist the insurer in assessing the claim.
Employer details: The full legal name, ABN or ACN, and contact details of the employer, together with the name of the workers compensation insurer and the employer's policy number. This information allows the insurer to identify the employer's account and the applicable policy terms.
Worker details: The full name, date of birth, residential address, contact number, occupation, and employment type of the injured worker. The worker's average pre-injury weekly earnings are also required to calculate the appropriate level of weekly compensation payments.
Incident details: The date, time, and specific location of the incident; the nature of the injury or illness; the body part(s) affected; and a detailed description of how the incident occurred. The description should be factual and specific, as it will be used by the insurer and potentially in any later proceedings.
Medical treatment details: The name and practice of the treating medical practitioner, the date of first treatment, and the worker's work capacity as certified by the treating doctor. This includes whether the worker has been certified as totally unfit for work, fit for suitable/modified duties, or fit for normal duties.
Witness information: Details of any witnesses to the incident, including their names and contact details. Witness statements can be important evidence in disputed claims.
Return to Work Plan: Details of the Return to Work Coordinator appointed and the return to work arrangements being put in place. All states and territories require employers to actively support injured workers' return to suitable employment.
Statutory obligations acknowledgment: The employer's declaration that they understand and will comply with their notification, record-keeping, weekly payment, and return to work obligations under the applicable state/territory legislation, and separately under the Work Health and Safety Act 2011 (Cth) or its state equivalent if the incident was a notifiable incident.