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State Insurance Regulatory Authority

Hearing service provider application

Use this form if you are a hearing service provider seeking SIRA approval to provide hearing aids and/or rehabilitation in the NSW workers compensation system.

Required fields are marked with an asterisk (*).
Use this form if you are a hearing service provider seeking SIRA approval to provide hearing aids and/or rehabilitation in the NSW workers compensation system.
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Notice

When completing the application form, you will NOT be able to save and return to complete at a later time. It is recommended that you have all required information ready to upload prior to completion.

Application checklist

  • Before beginning this application, ensure you have all the documentation and attachments (listed under the "Attachments required" below), ready to load
  • Save all attachments (maximum file size of 2MB) with your trading name and relevant description as the file name (maximum filename length is 50 characters)
  • Once your application has been completed, a copy will be emailed to the nominated contact person. It is advised that you review the email to ensure that all documents have been loaded. If they haven't, please lodge a further application with your contact details and any missing documents

Attachments required

You will need to download and complete the two spreadsheets (links below) and have these ready to attach to your application.

If you have any questions or require assistance, please contact 13 74 72 or email: providers@sira.nsw.gov.au

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