List of SIRA forms
Use this page to find SIRA forms by scheme.
Workers compensation forms
A
- Allied health recovery request (interactive)
- Allied health recovery request (word version)
- Allied health practitioner application for SIRA Workers Compensation approval (interactive)
- Allied health practitioner application for SIRA Workers Compensation approval (static)
- Application for workers compensation insurance claims, policy and settlement records
C
- Calculating pre-injury average weekly earnings
- Certificate of capacity
- Commutation application
- Continuation of weekly payments after 130 weeks application
D
E
H
- Hearing service provider application for SIRA approval (interactive)
- Hearing service provider application for SIRA approval (static)
I
- Independent consultant application
- Independent consultant referral
- Injury management consultant application for approval
J
N
O
P
- Permanent impairment assessor application
- Permanent impairment claim
- Permanent impairment claim - exempt claimants
R
- Request for exemption for return to work coordinator training
- Return to work assistance training application
S
T
V
- Vocational program - claim for payment
- Vocational program - closure report
- Vocational program - details
W
- Work capacity decision - application for internal review by insurer
- Work capacity decision - application for merit review by SIRA
- Work capacity decision - notification of insurer's decision on internal review
- Work capacity decision - reply to an application for merit review by SIRA
- Work trial agreement
- Worker's injury claim
- Workplace rehabilitation provider data spreadsheet
Motor accident (CTP) forms
A
- Agreed goals for rehabilitation
- Application for a referral to MAS by a claims assessor or court
- Application for damages under common law
- Application for funeral expenses
- Application for general assessment
- Application for personal injury benefits
- Application to compensate relatives
- Attendant care request
C
- Certificate of earnings
- Certificate of fitness
- Compensation to relatives claim
- Compensation to relatives claim - statutory declaration
D
E
- Equipment request
- Exemption for a compensation to relatives claim
- Exemption for a personal injury claim
F
- Further assessment of a permanent impairment dispute
- Further assessment of a treatment dispute
- Further general assessment
M
- Application for personal injury benefits
For accidents that happened after 1 December 2017
- Motor accident personal injury claim (interactive PDF)
For accidents that happened before 1 December 2017
- Motor accident personal injury claim (static PDF)
For accidents that happened before 1 December 2017
N
P
R
- Rehabilitation services
- Reply to an application for assessment of permanent impairment dispute
- Reply to an application for assessment of treatment dispute
- Reply to an application for exemption of a compensation to relatives claim
- Reply to an application for exemption of a personal injury claim
- Reply to an application for further assessment of permanent impairment dispute
- Reply to an application for further assessment of treatment dispute
- Reply to an application for general assessment
- Reply to an application for referral to MAS by a claims assessor or court
- Reply to an application for review of a medical assessment
- Reply to further general assessment
- Reply to special assessment application
- Review of a medical assessment