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.
Last updated

Jun 2016

Reading level

easy

File Type and Size

PDF, 103.23 kB

Document Length

1 page

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.