Application for approval to provide occupational rehabilitation services

Use this application form to apply to become an occupational rehabilitation (OR) provider at WorkSafe.
Last updated

Aug 2018

Reading level


File Type and Size

PDF, 153.01 kB

Document Length

5 pages

What it contains

Organisations can use this application form to become an OR provider at WorkSafe. The form explains:

  • which organisations are eligible to apply
  • the timeline for applications
  • how WorkSafe evaluates applications
  • how to complete the application
  • how WorkSafe collects personal information

Important: Please download this PDF to your computer. You can fill it in using Adobe Reader but it will not save if you attempt to fill it in using your web browser.