Form · Personal Injury & Compensation

Workers compensation claim form (WorkCover WA): completion guide

Link to the WorkCover WA claim form page. The page links a PDF titled Workers Compensation Claim Form. The PDF was not opened, so this guide does not describe its fields or give it a form number.

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

Where this comes from

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

When to use it

Use when a worker is making a workers compensation claim in Western Australia and the current claim form is the PDF linked from the WorkCover WA claim form page. Do not use this guide for a conciliation or arbitration application, a workplace fatality claim, or a noise-induced hearing loss 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 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
  • Any practice direction about generative tools is checked. 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 Western Australia (WorkCover WA). Link only: download the current form from WorkCover WA each time; do not copy or adapt it..

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