Form · Personal Injury & Compensation

Workers compensation claim form (WorkSafe Tasmania): completion guide

Link to the WorkSafe Tasmania page for accessing a workers compensation claim form. The page gives a printable PDF and a fillable PDF. It does not state a form number. The worker signs the worker section and gives it to the employer with a certificate of capacity.

Kind
Form. A form to complete, or a guide to completing an official one.
Where it applies
Tasmania
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.tas.gov.au and the 2 authorities it cites, for Tasmania.
Version
1
Source
Link to the official form. Licence: © State of Tasmania (WorkSafe Tasmania). Link only: download the current claim form from WorkSafe Tasmania each time; do not copy or adapt it.

Where this comes from

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

When to use it

Use when a worker in Tasmania is completing the Workers Compensation Claim Form linked from the WorkSafe Tasmania access page. Do not use the notice of right to make a claim, or the medical-records consent, as the claim form. The lawyer confirms there is no form number on the current page.

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: © State of Tasmania (WorkSafe Tasmania). Link only: download the current claim form from WorkSafe Tasmania each time; do not copy or adapt it..

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