The minimum information for a claim of compensation must be provided insurer includes the following:
- Name and contact details of the worker, employer and treating medical practitioner.
- If applicable, the names and contact details of any witnesses.
- Description of injury and how it occurred.
- supporting medical evidence for the claim.
Requirement for a claim form
An insurer must require worker to complete a claim form when:
A reasonable excuse has been issued by the insurer and the worker is seeking weekly payment of compensation or compensation is likely to be claimed beyond the provisional liability limits and there is insufficient information to determine ongoing liability.
An insurer can waive the requirement for a worker to submit a claim form if they have sufficient information to determine the claim on liability.
Signed authority to provide information to the insurer
Section 260 (3) of the 1998 Act allows an insurer to have the worker provide a signed authority to obtain medical and hospital information or workplace rehabilitation services.
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