Form · Personal Injury & Compensation
Authority for an employer to release wage and incident records
Signed authority for one employer to release incident, wage, leave and role records for a stated period, with a short covering letter. It is limited to that employer and that claim, and it is not a statutory declaration.
- Kind
- Form. A form to complete, or a guide to completing an official one.
- Where it applies
- Victoria, Queensland, New South Wales
- AI use
- Yellow You and the tool draft together, with you directing. You check every statement you rely on.
- Law stated as at
- 23 October 2026
- Status
- Maintained. Checked on 23 October 2026 against the 5 authorities it cites, for Victoria, Queensland and New South Wales.
- Version
- 1
- Source
- Written for this library
When to use it
Use when wage, leave or incident records are needed from an employer, a labour-hire agency or a host. Use a separate authority for each employer. Use the agency's own form if it will not accept this one. Do not use it to collect medical records.
Used for these tasks
- Reconcile the claim form with the medical chronology and payroll evidence
- Organise chaotic PI evidence into a fact base
Each task page says how far AI may help with the task and what the lawyer must review.
How AI may be used
The tool may fill the employer, the period and the record list from the intake, and the lawyer checks the signed authority before it is sent.
AI may
- Fill the employer's name and the date range from the intake questionnaire
- Prepare one covering letter for each employer the client has named
- List record types the client has ticked, and no others
AI must not
- Must not add an employer or a date range the client has not agreed
- Must not describe this authority as a statutory declaration
- Must not send it before the client has signed it
The lawyer checks
- The client understands which employer will be contacted and for which years
- A host employer and a labour-hire agency are separated if both hold records
- Wage information is kept in the firm's approved system (ASCR r 9; APP 11). Assess a loss under the Notifiable Data Breaches scheme if serious harm is likely
Method: how the Green, Yellow and Red levels are decided. This is guidance for planning, not legal advice.
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- let the AI tools you connect read it from that knowledge base.
The summary, the law it rests on and the AI-use guidance above stay public. Privacy.
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All precedents for Personal Injury & Compensation · Tasks and AI use in this area