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12 results found:

Statutory offer form: Common Law form B

PDF File, 103.8 KB | Asset ID: 210532

Statutory offer application form for common law damages under Section 134AB(12)(b) of the Accident Compensation Act 1985 or Section 333(b) of the Workplace Injury Rehabilitation and Compensation Act 2013. Form B (Statutory Offer) must be completed before proceedings can commence in court.


Form of application for common law damages approved by WorkSafe Victoria: Common Law form A

PDF File, 474.0 KB | Asset ID: 210531

Common law damages application form to be used for making an application under the section 134B of the accident Compensation Act 1985 or section 328 of the Workplace Rehabilitation and Compensation Act 2013.


Statutory counter offer form: Common Law form C

PDF File, 103.4 KB | Asset ID: 210533

Statutory counter offer form for applications for common law damages under Section 134AB(12)(b) of the Accident Compensation Act 1985 or section 333(b) of the Workplace Injury Rehabilitation and Compensation Act 2013.


Authority and consent to release medical information: Common Law form D

PDF File, 236.8 KB | Asset ID: 210534

This form provides WorkSafe with the authority and consent to release the medical information of a worker - form D.


Consent and authority policy and procedure: Common Law form D

PDF File, 19.2 KB | Asset ID: 207759

Policy and procedure regarding the consent and authority to release information and documents - form D.


Policy and procedure of an ‘Authority and Consent to Release Medical Information’ (Form D) provided by a worker with an application for common law damages

PDF File, 49.8 KB | Asset ID: 209440

Policy and procedure regarding use by the Victorian WorkCover Authority of an ‘Authority and Consent to Release Medical Information’ provided by a worker in connection with an application for common law damages made under Victorian workers’ compensation legislation.


Legal liaison group: Common Law and key issues update - 7 September 2016

PDF File, 995.5 KB | Asset ID: 209481

The purpose of this information paper is to provide an update to LLG on common law related issues.


Legal liaison group: Common Law and key issues update - 14 December 2016

PDF File, 960.3 KB | Asset ID: 209483

The purpose of this information paper is to provide an update to LLG on common law related issues.


Legal liaison group: Common Law overview and key issues - 13 September 2017

PDF File, 349.1 KB | Asset ID: 215400

The purpose of this information paper is to provide an update to LLG on common law related issues.


Legal liaison group: Common Law key issues and data - 15 March 2017

PDF File, 1.4 MB | Asset ID: 209485

The purpose of this information paper is to provide an update to LLG on common law related issues.


Dispute management division: Request for comparable earnings prior to lodging a Common Law application

PDF File, 222.3 KB | Asset ID: 215696

A form is to be used when requesting comparable earnings prior to the lodging of an application for common law damages under s134AB(4) of the Accident Compensation Act 1985 or s328 of the Workplace Injury Rehabilitation and Compensation Act 2013.


Legal liaison group: Common Law overview and key issues - 7 June 2017

PDF File, 417.5 KB | Asset ID: 215399

The purpose of this information paper is to provide an update to LLG on common law related issues.


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