Form · Personal Injury & Compensation

Application for claim review (Workers' Compensation Regulator Form 542.3)

Link to Form 542.3, version 6, the approved application for review under section 542, on which the applicant states the grounds and signs. This is the Regulator's review, not a QIRC appeal.

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 3 authorities it cites, for Queensland.
Version: 1
Source: Link to the official form. Licence: © State of Queensland. Link only: download the current form 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 when a claimant asks the Workers' Compensation Regulator to review an insurer's decision, or a failure to decide, under section 542. QIRC Forms 9, 9A, 9B and 9C are the later appeal, if an appeal is brought. Form 542P is the premium and policy review and is not this form.

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 review form against the decision on the file and list missing grounds documents; it writes nothing in the grounds or the signature, and the lawyer lodges it.

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 grounds of review or any statement the applicant signs
Must not decide whether the application is in time or whether special circumstances exist
Must not lodge the review or start the online form

The lawyer checks

The decision is reviewable under chapter 13 and Form 542.3 is the approved form
Section 542(1) or (4) is applied to the notice and the reasons, not only to one of the form's two sentences
The grounds are the applicant's
An appeal, if any, uses the industrial commission or an industrial magistrate as section 546 states, and not this form

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. Link only: download the current form from the official page each time; do not copy or adapt it..

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