Claim form for compensation following a work-related death

A form to claim for compensation following the death of worker as a result of work-related injury or illness under the Victorian workers’ compensation legislation.

Shape
 
Published: 17 Nov 2022
 
File type: PDF
 
File size: 1.07 MB
 
Length: 5 pages
 
Reading level: Difficult

What it contains

Blank form with supplementary notes and information.