WORKERS’ COMPENSATION CLAIM FORM 2B (REG 6AA)
SECTION 84(1)(b) OF THE WORKERS’ COMPENSATION AND REHABILITATION ACT 1981
Employer please give this factsheet to the injured worker
How to claim
If you believe you have been injured at work tell your employer or supervisor as soon as you can.
• Fill in a “Notice of Occurrence of Disability” form (available from your employer), and record the injury in your employer’s
Accident Report Book as soon as practicable.
• See a doctor of your choice and ask for a First Medical Certificate.
• Fill in the enclosed Workers’ Compensation Form (Form 2B) and give it and your First Medical Certificate to your employer as
soon as you can.
If you can’t fill in this form yourself you may ask someone else to help you.
What happens next ?
• Your employer must send your claim to his/her insurance company within 3 working days of receiving it from you.
• The insurance company must advise you (in writing) if your claim is accepted, disputed, or that more time to make a
decision is needed, within 14 days of receiving the claim from your employer.
If your employer is a self-insurer they must, within 17 days of receiving the claim from you, start your weekly payments if the
claim is accepted, or advise you (in writing) that the claim is rejected or that more time for a decision is needed.
• The insurance company may assign an assessor to investigate your claim. It is your choice whether you agree to being
interviewed by the assessor and a person of your choice may accompany you.
• Your employer and doctor may discuss your injury and your return to work options.
What are your entitlements?
Once your claim has been accepted your employer is required to pay (up to prescribed limits):-
• Weekly payments - paid on your normal pay day for any period that your doctor has certified you require time off work. Call
WorkCover for information on the calculation of your weekly payment if necessary.
• Medical expenses – reasonable hospital, medi