---
title: "Notice of claim for damages (WorkCover Form 275)"
url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-wc-notice-of-claim-damages"
type: "precedent"
site: "AI Law Framework"
id: "a21-form-qld-wc-notice-of-claim-damages"
area_id: "A21"
kind: "form"
ai_level: "yellow"
version: 1
task_ids: ["A21-T1-R5", "A21-T1-R1", "A21-T1-R13"]
law_stated_as_at: "2026-10-23"
---

# 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.

Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-wc-notice-of-claim-damages  
Law stated as at: 2026-10-23

Site index for agents: https://ailawframework.com/llms.txt

## Key facts

- Kind: Form. A form to complete, or a guide to completing an official one.
- Practice area: [Personal Injury & Compensation](https://ailawframework.com/precedents/personal-injury-and-compensation.md)
- Jurisdictions: Queensland
- AI level: Yellow. You and the tool draft together, with you directing. You check every statement you rely on.
- Law stated as at: 2026-10-23
- Status: Maintained. Checked on 2026-10-23 against the official form at worksafe.qld.gov.au and the 2 authorities it cites, for Queensland.

## 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

- [Draft the pre-action notice or statutory claim form from the instructions](https://ailawframework.com/practice/personal-injury-and-compensation/draft-the-pre-action-notice-or-statutory-claim-form-from-the-instruction.md)
- [Calculate limitation and pre-action notice deadlines from the injury facts](https://ailawframework.com/practice/personal-injury-and-compensation/calculate-limitation-and-pre-action-notice-deadlines-from-the-injury-fac.md)
- [Draft correspondence to the insurer or scheme agent](https://ailawframework.com/practice/personal-injury-and-compensation/draft-correspondence-to-the-insurer-or-scheme-agent.md)

## 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

## Authorities

- [Workers' Compensation and Rehabilitation Act 2003 (Qld) ss 275, 276 and 302](https://www.legislation.qld.gov.au/view/whole/html/inforce/current/act-2003-027)
- [Form 275 Notice of claim for damages](https://www.worksafe.qld.gov.au/__data/assets/pdf_file/0009/21501/form-275-notice-of-claim-for-damages.pdf)

## Official form

[Official form](https://www.worksafe.qld.gov.au/__data/assets/pdf_file/0009/21501/form-275-notice-of-claim-for-damages.pdf)

## 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.

## Full text and drafting notes

The full text and the drafting notes are not part of this public page. Signed-in firm accounts can read them at https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-wc-notice-of-claim-damages and through the signed-in MCP connector https://ailawframework.com/mcp/firm.

*Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*