Adding a workplace to a WorkCover insurance registration

Use this form to add an additional workplace to your existing WorkCover Insurance Registration. Send your completed form to your WorkCover agent.

Published: 31 May 2023

File type: PDF

File size: 117.01 kB

Length: 4 pages

Reading level: Easy

What it contains

You must complete this form within 14 days of becoming the occupier of a workplace which is not included under your WorkCover Insurance Registration.

If you have not registered for WorkCover Insurance, DO NOT use this form – please complete a Registration for WorkCover Insurance form.