Refer an injured worker

Content

Refer an injured worker

Use this form to refer an injured worker to the Return to work assist program. They will be contacted by the Return to work assist team shortly after your referral is lodged.

Worker's namerequired

Address 1required

Address 2

Suburb/Townrequired

Postcoderequired

Phone numberrequired

Mobile

Email address

Claim number (if known)

Employer at the time of injury

Occupation at the time of injuryrequired

Any other details that may be relevant

Referrer details

Name of referrerrequired

Organisation

Location

Your email addressrequired

Phone number

Please add the following relevant files

Vocational assessment report

requiredThese fields are compulsory

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Make a referral

Overview
Refer yourself
Refer an injured worker

Q-COMP

Return to work asssit. A Q-COMP initiative

Helping injured workers return to work