Application For A WorkSafe Insurance Policy Form
- Registration for WorkCover Insurance Form (PDF 293kb)
Document Type: Form
Industry: Local Government,
Category: Insurance and Premiums,
Publication Date: 2 July 2014
Date First Published: 11 October 2006
Summary: This form is used to apply for a WorkSafe Injury Insurance Policy. On completion this form should be sent to one of the five WorkSafe Agents.