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Enquiry form - employers

If you are an experience rated employer that may have been impacted by the audits of weekly payments to injured workers, register your details below to receive further communications from SIRA on this matter.

There is a separate enquiry form for workers


Required fields are marked with an asterisk (*).

Have you had workers who made a workers compensation claim for weekly payments?
Insurer name Please indicate from the list below your insurer name.
Do you consent for SIRA to contact your regarding the information you have provided? *
Do you consent for SIRA share information with icare or your workers compensation insurer? *
Contact details

Privacy statement

Personal information in this form is collected  in accordance with the Privacy and Personal Information Protection Act 1998 (PPIP Act). We  respect your privacy and are committed to protecting your personal information.

Further information on our privacy policy is available on our privacy page.