Report employer issues form

A form to provide information about an employer you think may not have complied with their obligations under the Workplace Injury Rehabilitation and Compensation Act 2013 (WIRC Act).

Shape
 
Published: 01 Aug 2016
 
File type: PDF
 
File size: 111.98 kB
 
Length: 9 pages
 
Reading level: Easy

What it contains

This form allows you to provide information to WorkSafe Victoria (WorkSafe) about an employer you think may not have complied with their obligations under the WIRC Act.

WorkSafe will assess the information provided and take appropriate action.