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Worker’s injury claim form

Worker’s injury claim form

www.sira.nsw.gov.au

Workers Compensation Act 1987. Workplace Injury Management and Workers Compensation Act 1998 Complete this form to make a workers compensation claim for weekly payments or . medical, hospital and rehabilitation expenses. Information for workers Before completing this form, you should: • notify your employer of your work-related injury or illness

  Form, Injury, Claim, Compensation, Work, Injury claim form

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