Reporting a service provider or health practitioner form

A form to provide information about a person you think is getting a payment or benefit from WorkSafe they should not be getting, or to report any other issues regarding service providers or allied health practitioners.

Shape
 
Published: 01 Jun 2016
 
File type: PDF
 
File size: 103.23 kB
 
Length: 1 page
 
Reading level: Easy

What it contains

This form allows you to provide information to WorkSafe Victoria (WorkSafe) about a person you think is getting a payment or benefit from WorkSafe they should not be getting or to report any other issues regarding service providers or allied health practitioners.

WorkSafe will assess the information provided and take appropriate action.