Forms

Workers' Compensation and Rehabilitation

Note: These forms should be viewed using Adobe Acrobat Reader version 5 or higher. If you are having difficulties reading or opening forms you may have an earlier version. To download the current version of Acrobat Reader, click here.

Forms prepared for use by health professionals in the areas of workers compensation and rehabilitation services.

FM1900 Workers’ compensation claim form and instructions
FM19111 First medical certification - compensation
FM19101 Progress medical certificate - compensation

FM19088

Final medical certificate - compensation
FM009 Rehabilitation treatment checklist
About NT WorkSafe
Business Plan
Contacts
Office Locations
What's New
Safety Alerts
Incident Notification
Occupational Licensing
Forms
Publications
Information Bulletins
Checklists
Enquiries and Complaints
Reports
Legislation
Codes of Practice
Links
 


Categories

Applications Notifications
Authority Permits
Declarations/Experience Records/Reports
Licences Registrations
Medical  


Top

Contact Us >  NT Government >
Disclaimer / Privacy / Copyright Notice >
This page last updated: Tuesday, December 11, 2007 . © Copyright Northern Territory of Australia.
Northern Territory Government