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WA - WorkCover forms

The following forms have been amended:
  • Form 100 - Application for conciliation - [LL-WA-PI-078];
  • Form 101 - Statement of social and financial circumstances - Conciliation - [LL-WA-PI-055];
  • Form 103 - Application for order for insurer to make payment - [LL-WA-PI-056];
  • Form 104 - Notice of representation - Conciliation - [LL-WA-PI-057];
  • Form 105 - Multiple respondent form - Conciliation - [LL-WA-PI-058];
  • Form 106 - Notice of discontinuance - Conciliation - [LL-WA-PI-079];
  • Form 108 - Application for order and assessment of costs - Consolidation - [LL-WA-PI-061];
  • Form 150 – Application for Arbitration - [LL-WA-PI-062];
  • Form 150A – Application for Arbitration – Workplace Fatality - [LL-WA-PI-082]
  • Form 152 – Application to Extend Time to Lodge an Application for Arbitration - [LL-WA-PI-063];
  • Form 153 – Statement of Social and Financial Circumstances - [LL-WA-PI-076];
  • Form 154 – Reply to an Application for Arbitration - [LL-WA-PI-065];
  • Form 155 – Certificate of Service - [LL-WA-PI-066];
  • Form 156 – Interlocutory Application [LL-WA-PI-067];
  • Form 156A - Notice consenting or opposing interlocutory application - [LL-WA-PI-068];
  • Form 156A – Notice Consenting or Opposing Interlocutory Application - [LL-WA-PI-068];
  • Form 157 – Memorandum of Consent Order - [LL-WA-PI-069];
  • Form 158 – Order for Production of Documents or Material - [LL-WA-PI-071];
  • Form 15G - Notice of intention to dismiss worker to which section 84AB of the Act refers - [LL-WA-PI-025];
  • Form 161 – Multiple Respondent Form - Arbitration - [LL-WA-PI- 073];
  • Form 162 – Notice of Representation - [LL-WA-PI-060];
  • Form 163 – Notice of Discontinuance - Arbitration - [LL-WA-PI-075];
  • Form 164 – Application for Order and/or Assessment of Costs - Arbitration - [LL-WA-PI-076];
  • Form 164A – Notice Consenting or Opposing Application for Order and/or Assessment of Costs - [LL-WA-PI-077];
  • Form 18 - Notice of arrangement of audiometric test - [LL-WA-PI-028];
  • Form 2B - Workers compensation claim form - [LL-WA-PI-004];
  • Form 4 - Final certificate of Capacity - [LL-WA-PI-081].

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Blog Article: WA - WorkCover forms