Form · Personal Injury & Compensation

Notice of claim for damages (WorkCover Form 275)

Link to Form 275, version 3, the approved notice of claim for damages under section 275. Statements in the claimant's personal knowledge must be verified by statutory declaration.

Kind: Form. A form to complete, or a guide to completing an official one.
Where it applies: Queensland
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 official form at worksafe.qld.gov.au and the 2 authorities it cites, for Queensland.
Version: 1
Source: Link to the official form. Licence: © State of Queensland 2018. Link only: download the current Form 275 from the official page each time; do not copy or adapt it.

Where this comes from

The official form is published by worksafe.qld.gov.au; this page is a completion guide. Last checked on 2026-10-23.

When to use it

Use before a Queensland proceeding for damages for a work injury, when notice must be given to the insurer under section 275. It is not the application for compensation. Urgent proceedings are section 276. The lawyer checks section 302 for the period in which the notice is given.

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 the current official form against the file and list what is missing; it writes nothing in a declaration or certificate, and the lawyer settles every statement the client signs or gives.

AI may

Check the draft is the current file from the official page and list every blank field and missing attachment
Index the documents already on the file that the form calls for, with date and author
Turn the published giving and response steps into a checklist for this matter

AI must not

Must not write the declaration, the liability admission, the offer, or the section 276 waiver request
Must not write any statutory-declaration verification of statements in the claimant's personal knowledge
Must not sign, give or serve the notice
Must not decide whether the notice is within section 302 or whether urgency under section 276 is made out

The lawyer checks

Form 275 version 3 is still the approved form linked from the current forms index
Section 275(5) is satisfied for every statement in the claimant's personal knowledge
The notice goes to the insurer's registered office, with a copy to the employer if the employer is not a self-insurer
A lawyer signs only in the urgent case section 276(3) describes

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: © State of Queensland 2018. Link only: download the current Form 275 from the official page each time; do not copy or adapt it..

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