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Forms

The referral forms listed below are available in MS Word format Microsoft Word icon . If you require assistance in obtaining a copy please contact us.

Section 42 - General referral form

Section 61 - Consent Reasonably Arguable Case

Section 67F - Dispute of Liability in respect of the Death of a Worker

Section 77AB -Employers liability for expenses less than $5,000 if liability not accepted or determined

Section 81A Referral

Section 86(4) - Reference following Termination or reduction in payments

Section 132A(4) - Settlement by Agreement

Section 132A(9) - Reference for Review of Settlement by the Tribunal

Section 143P - Notification of Disputes About Injury Management

Section 138AB - Election to commence proceedings for damages - agreed by Employer

Section 138AB - Election for damages assessed by the Tribunal

Resolved during Conciliation

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