---
title: "Application for claim review (Workers' Compensation Regulator Form 542.3)"
url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-wcr-application-for-claim-review"
type: "precedent"
site: "AI Law Framework"
id: "a21-form-qld-wcr-application-for-claim-review"
area_id: "A21"
kind: "form"
ai_level: "yellow"
version: 1
task_ids: ["A21-T1-R9", "A21-B5-6", "A21-WR20261022-10"]
law_stated_as_at: "2026-10-23"
---

# 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.

Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-qld-wcr-application-for-claim-review  
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 3 authorities it cites, for Queensland.

## 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

- [Draft submissions for the compensation commission or tribunal](https://ailawframework.com/practice/personal-injury-and-compensation/draft-submissions-for-the-compensation-commission-or-tribunal.md)
- [Prepare a CTP or workers compensation dispute submission from the scheme file](https://ailawframework.com/practice/personal-injury-and-compensation/prepare-a-ctp-or-workers-compensation-dispute-submission-from-the-scheme.md)
- [Record the time to ask for reconsideration of a compensation determination](https://ailawframework.com/practice/personal-injury-and-compensation/record-the-time-to-ask-for-reconsideration-of-a-compensation-determinati.md)

## 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

## Authorities

- [Workers' Compensation and Rehabilitation Act 2003 (Qld) ss 542, 545 and 546](https://www.legislation.qld.gov.au/view/whole/html/inforce/current/act-2003-027)
- [WorkSafe Queensland, Lodging a review](https://www.worksafe.qld.gov.au/workers-compensation/independent-review-of-insurer-decisions/lodging-a-review)
- [Form 542.3 Application for claim review](https://www.worksafe.qld.gov.au/__data/assets/pdf_file/0026/22895/5166-form-542-3-application-for-claim-review.pdf)

## Official form

[Official form](https://www.worksafe.qld.gov.au/__data/assets/pdf_file/0026/22895/5166-form-542-3-application-for-claim-review.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-wcr-application-for-claim-review 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.*