Claims - Forms
 
 

On-line

  Notify QBE of an Injury

Please click to download the appropriate forms to notify QBE of a work-related injury:

NSW

  NSW First Report of Injury
  Worker's Injury Claim Report
  Employer Report of Injury
  NSW Claim Form for "Injury on the Journey"
  Claim for Expenses

ACT

  ACT Notification & Register of Injuries Form
  ACT Workers' Report of Injury
  ACT Employer's Report of Injury

WA

  First Report of Injury
  WA Employer's Report of Injury

TAS

  First Report of Injury

Please contact our Hobart or Launceston Branches to request the appropriate forms.

NT

  First Report of Injury

Please contact our Darwin Branch to request the appropriate forms.

VIC

  Register of Injury
  Accident Investigation Report
  Application for a WorkCover Insurance Policy
  Weekly Payment Reimbursement Request (Victoria)

Please contact our Melbourne Branch to request the appropriate forms.