Reconcile an NSW injury claim form with the records and wage evidence
MaintainedLast reviewed
Key facts
- Human involvement
- YellowClose supervision
- How AI is used
- Compare the injury date, mechanism, body parts and time off work on the worker's injury claim form or the motor accident claim particulars with the medical records, the certificate of capacity and the wage records, and list each inconsistency with its source.
- What the lawyer must review
- Decide which form is being lodged and whether the client must declare its contents
- Check each listed inconsistency against the source page before anyone relies on it
- Keep medical and wage records in a firm-controlled tool. A leak may be notifiable
Rules that apply
The document starts from the task name. Change it if this piece of work is different.
The work product
Forum. NSW workers compensation claim, or a motor accident claim under the Motor Accident Injuries Act 2017
Produce. A table of inconsistencies between the draft claim particulars and the records, for the lawyer to resolve before lodgement.
Have ready. Draft worker's injury claim form or motor accident claim particulars; Certificate of capacity, where the claim is for workers compensation; Clinical notes and wage records selected by the lawyer.
Example of the limit. Illustrative example: The draft says the person stopped work on the day of the injury. The payslips show two further weeks of ordinary hours. The table records both dates and the page of each source. It does not change the form.
Stop and hand it back when
- The form asks the client to declare facts that the records contradict and the client has not resolved them.
- The records are incomplete, so an apparent conflict cannot be checked.
Sources for this task were checked on 2026-10-23.
Who does what
| Role | What they do |
|---|---|
| Assistance | Compare the injury date, mechanism, body parts and time off work on the worker's injury claim form or the motor accident claim particulars with the medical records, the certificate of capacity and the wage records, and list each inconsistency with its source. |
| Lawyer | Set the scope, supervise the work closely, verify every part relied on, resolve omissions and exceptions, and approve the exact output. |
Checklist
- For a workers compensation claim, use the SIRA worker's injury claim form and a certificate of capacity. Section 3A is where a relevant-conduct psychological injury is described.
- Guideline 4.24 applies where the claimant gives some details by phone: notice is not given until the completed pre-filled form is returned. If the claimant cannot provide the information the insurer asks for under guideline 4.12, guideline 4.13 requires a statutory declaration, including whether police provided an event number. The tool writes nothing in that declaration.
- Match the claimed injury date, mechanism, body parts and time off work to the clinical notes and the wage records used for pre-injury average weekly earnings.
- Do not smooth a conflict to make the form consistent. The lawyer decides what needs a further account from the client.
Forms and precedents for this task
| Form or precedent | Kind | AI use | Summary |
|---|---|---|---|
| Worker's injury claim form (SIRA): weekly payments and treatment expenses | Form | AI use Yellow | Link to SIRA's worker's injury claim form for weekly payments and treatment costs, with the sections every claim needs, the signed declaration, and the certificate of capacity to send with it. |
| Application for review (SAET form A02, Return to Work): completion guide | Form | AI use Yellow | Link to SAET form A02, Application for Review (Return to Work), on the start-a-new-case page. |
| TAC online claim lodgement: what to gather and when the claim is lodged | Form | AI use Yellow | Guide to the Transport Accident Commission's online claim form: the 12-month lodgement period, the documents the form asks for, and the rule that a saved draft is kept for 10 days. |
| Workers compensation claim form (WorkCover WA): completion guide | Form | AI use Yellow | Link to the WorkCover WA claim form page. |
| Application for expedited decision (SAET form A03): completion guide | Form | AI use Yellow | Link to SAET form A03, Application for Expedited Decision (Return to Work), named on the start-a-new-case page. |
| Authority for an employer to release wage and incident records | Form | AI use Yellow | Signed authority for one employer to release incident, wage, leave and role records for a stated period, with a short covering letter. |
| Economic loss workings: past, future and superannuation | Other | AI use Yellow | Workings for loss of earning capacity, the three-times earnings cap, the discount rate, superannuation at the rate for each period, and tax on weekly payments that must be repaid gross. |
| Letter to an employer asking for incident documents, a footage hold and wage records | Letter | AI use Yellow | A letter, with the worker's authority, asking an employer for time and wage records and for the incident report, and asking the employer to keep any footage of the incident. |
| Application for suitable employment (SAET form A04): completion guide | Form | AI use Yellow | Link to SAET form A04, Application for Suitable Employment (Return to Work), named on the start-a-new-case page. |
| Work injury claim (ReturnToWorkSA online): completion guide | Form | AI use Yellow | Link to the ReturnToWorkSA page for reporting an injury or making a claim. |
| Application for payment of wages (SAET form A06): completion guide | Form | AI use Yellow | Link to SAET form A06, Application for payment of wages under the Return to Work Act, named on the start-a-new-case page. |
| Application for mediation (NT WorkSafe): completion guide | Form | AI use Yellow | Link to the NT WorkSafe application for mediation under the Return to Work Act 1986. |
| Workers compensation claim form (WorkSafe Tasmania): completion guide | Form | AI use Yellow | Link to the WorkSafe Tasmania page for accessing a workers compensation claim form. |
| Workers compensation claim (WorkSafe ACT): completion guide | Form | AI use Yellow | Link to the WorkSafe ACT page on how to make a workers compensation claim. |
| Workers compensation claim form (NT WorkSafe): completion guide | Form | AI use Yellow | Link to the NT WorkSafe approved workers compensation claim form for a claim other than death. |
| WorkSafe worker's injury claim form: completion guide | Form | AI use Yellow | Guide to the WorkSafe worker's injury claim form, in myWorkSafe or as a PDF, including the certificate of capacity, the signed medical authority and declaration, and mental-injury rules from 31 March 2024. |
| Treatment chronology from health records | Other | AI use Yellow | A page-cited chronology of treatment, complaints and findings drawn from health records, with a verification log. |
| WorkCover Queensland application for compensation | Form | AI use Yellow | Link to the WorkSafe page for making a workers' compensation claim: a valid application needs the approved form and a work capacity certificate. |
| Medical records index | Other | AI use Yellow | An index of health records by provider, date, source and page, marking subpoenaed or suppressed material that must not go into a generative tool unless the court's conditions are met. |
| Work capacity certificate for a Queensland workers' compensation claim | Form | AI use Yellow | Link to the WorkSafe work capacity certificate page: the claim is not valid without it. |
Signed-in accounts can read the full text of each one. All precedents.
Sources
- SIRA: Weekly payments · 2026-10-23
- SIRA: Part 4 of the Motor Accident Guidelines: Claims · 2026-10-23
Practice Note SC Gen 23 and Procedural Direction PIC13 prohibit using generative AI to generate the content of a person's evidence. The comparison table is a working list, not the form.
Health and wage records stay in a firm-controlled tool. Australian Solicitors' Conduct Rules rule 9 and Australian Privacy Principle 11 apply, and a breach may be notifiable under the Privacy Act 1988 (Cth).