Claim for compensation for permanent disability

Shape
 
Published: 24 Jan 2023
 
File type: PDF
 
File size: 155.39 kB
 
Length: 8 pages
 
Reading level: Medium

What it contains

This form is for a worker to claim compensation for permanent impairment resulting from a work-related injury or condition sustained between 31 August 1985 and 11 November 1997, under the Accident Compensation Act 1985.