Form · Personal Injury & Compensation

Workers compensation claim (WorkSafe ACT): completion guide

Link to the WorkSafe ACT page on how to make a workers compensation claim. Claim forms come from the employer. The page states the notification and claim steps. It does not publish a government form number.

Kind
Form. A form to complete, or a guide to completing an official one.
Where it applies
Australian Capital Territory
AI use
Yellow You and the tool draft together, with you directing. You check every statement you rely on.
Law stated as at
22 October 2026
Status
Maintained. Checked on 22 October 2026 against the official form at worksafe.act.gov.au and the 2 authorities it cites, for Australian Capital Territory.
Version
1
Source
Link to the official form. Licence: © Australian Capital Territory (WorkSafe ACT). Link only: follow the current WorkSafe ACT claim page; do not copy or adapt an insurer's form from another site.

Where this comes from

The official form is published by worksafe.act.gov.au; this page is a completion guide. Last checked on 2026-10-22.

When to use it

Use when checking the WorkSafe ACT steps for a worker's compensation claim, including notice to the employer and, where the worker is incapacitated for 7 days or more, the claim form and certificate of capacity. Do not invent a form number. The claim form is obtained from the employer.

Used for these tasks

Each task page says how far AI may help with the task and what the lawyer must review.

How AI may be used

AI may check a draft against the current form and list gaps. The lawyer writes the injury account and checks every form that will be signed or lodged.

AI may

  • Check the draft against the current official form and list blank fields and missing attachments named on the page
  • Flag when a death claim, a dispute form or a medical certificate is being used as the worker's claim form
  • List the lodgement path stated on the page that was opened

AI must not

  • Must not draft the injury narrative or any words that would be signed or lodged
  • Must not decide whether the injury is compensable or calculate an entitlement
  • Must not sign, lodge or serve the form

The lawyer checks

  • The current form is the one the scheme page prescribes for this kind of claim
  • The injury account, dates and earnings match the instructions and the medical certificate
  • Any time limit, excess or insurer step is checked against the current scheme rules
  • The court's or tribunal's current index is checked before assuming a generative-AI practice direction applies. None was stated on the page opened for this guide.

Method: how the Green, Yellow and Red levels are decided. This is guidance for planning, not legal advice.

Authorities

Official form

Open the official form. Always use the current version from the issuer. Licence: © Australian Capital Territory (WorkSafe ACT). Link only: follow the current WorkSafe ACT claim page; do not copy or adapt an insurer's form from another site..

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