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.
Last updated

Aug 2014

Reading level


File Type and Size

PDF, 220.09 kB

Document Length

6 pages

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.