Application for weekly payments after the second entitlement period – surgery

If you undergo surgery after the end of the second entitlement period, you might be entitled to further weekly payments.


What it contains

To apply for these payments, you need to fill out the above form. Information you need to provide in this form includes:

  • your personal details
  • your current employment and income details
  • authority to obtain information
  • any attachments required for a valid application