Before you make a WorkCover claim

The claims process is different depending on what you're claiming for.

Compensation available to injured workers

If you're injured at work and need medical treatment or time off work, you may be eligible for compensation which may include time off work and treatment expenses.

You may also be able to get compensation if you've become permanently impaired, or if you find you need more than 52 weeks off work, you may also be eligible for superannuation benefits.

If you have sustained a work-related mental injury, you may also be entitled to access early support for reasonable medical treatment and services while you await the outcome of your claim. This support is called provisional payments. If the claim for your mental injury is later accepted, you may then be entitled to weekly payments for time off work.

1. Claiming weekly payments for time lost from work

If you are injured and need time off work, you can make a claim for weekly payments to cover part of your lost income.

Your weekly payments will be based on your pre-injury average weekly earnings (PIAWE), which is made up of your base rate of pay and can include overtime and shift allowances.

You must get a Certificate of Capacity from your General Practitioner (GP) if you wish to claim for weekly payments. Then you must complete the Worker's injury claim form.

2. Claiming for treatment expenses

If you are injured and receive medical treatment, you can have your medical and like expenses paid directly to your provider, or reimbursed to you. Ensure you keep your receipts.

You do not require a Certificate of Capacity if you are claiming for medical and like expenses only and do not have any restrictions stopping you from working in your normal, pre-injury role, however you may require a referral from your GP for some treatments. You must complete the Worker's injury claim form.

3. Claiming for both weekly payments and medical expenses

If you are injured, receive medical or like treatment, and need time off work, you can have your medical and like expenses reimbursed to you as well as receive weekly payments for time off work.

You must get a Certificate of Capacity if you wish to claim for income lost. Then you must complete the Worker's injury claim form.

4. Claiming provisional payments for a work-related mental injury

If you have sustained a work-related mental injury, you may also be entitled to access early support for reasonable treatment and services, including consultations with GPs, psychologists, psychiatrists, medications and travel costs, while you await the outcome of your claim. This support is called provisional payments.

To receive provisional payments, make sure you indicate that you have a mental injury at question 2 of the Worker's injury claim form by ticking the relevant box. Once you have lodged a claim form, your entitlement to provisional payments will usually be determined within five business days. Your agent will be in touch to notify you of the outcome.

Can I get treatment before a claim is accepted?

Your health is the most important thing. If you have sustained an injury you should seek treatment as soon as possible, regardless of whether you have an accepted workers' compensation claim.

For more information about treatment you can access without a referral, see treatment expenses.

Costs of any physical injury can later be covered by workers' compensation if your claim is accepted.

If your claim includes a work-related mental injury, you may be entitled to provisional payments. This means that you can receive support for the reasonable costs of medical treatment and services for your mental injury while a decision is being made on your claim. The WorkSafe agent will notify you if you are entitled to provisional payments on your claim usually within 5 business days.

It's important to note that payment of the reasonable costs of medical treatment and services does not necessarily mean payment of the full costs. There may be a 'gap' between what the provider charges and what is payable under WorkSafe's schedule of fees.

People involved in the process

  1. You

    The injured worker.