Surgery - Small
Lennox Head Medical Centre
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WorkCover
Making a WorkCover claim can be quite daunting, so we have devoted a page just to assist you in finding your way through the system.

WorkCover NSW manages the State's workplace safety, injury management, and workers compensation systems. Further information is available at their web site or by telephone 13 10 50. We have prepared a summary of your obligations

You must report your injury or work related illness to your employer (or supervisor) as soon as possible.

You need to enter details of the injury/illness in your employer's Register of Injuries Book yourself (or ask your employer or supervisor to do so.

Please ask your employer for a claim form from its Workers Compensation Insurer. Your employer must tell you the name of the insurance company. (If the claim form is not available from your employer, you can obtain it directly from the insurance company.

Return the completed claim form to the employer along with the Work Cover Medical Certificate. You can also attach any related medical accounts or receipts.

Ask your employer to send the claim form, the white certificate copy and any accounts and receipts, to the insurance company, with the employer's completed Report of Injury form, within seven (7) days of your giving the papers to the employer.

Reimbursement of any further paid medical or chemist etc expenses should be claimed directly from the insurance company - once the claim number is issued.

If the claim is accepted the insurance company will notify the employer by phone or fax to pay you at the basic award rate for the time lost from work while totally unfit.

Please notify our practice of your claim number as soon as it is available. When we have the claim number we will bill the insurer. Until we have a claim number the account will be in your name and you will be responsible for the account if the insurer denies the claim.

It is recommended that you keep a copy of any documents you give to the employer.

Insurance companies have twenty-one days from when you make the claim to accept or deny it. This period can be extended to forty-two if there is a reasonable excuse such as needing more time to obtain a medical report.
During this time your employer does not have to pay your wages so you may want to claim sick or other leave until the insurer makes its decision. If you do not have any leave, you may be able to claim sickness benefits from Centrelink, tel.132 717.

As an injured worker you must

Notify your employer of a workplace injury as soon as possible after the injury happens.

Participate and co-operate in the establishment of an injury management plan.

Make all reasonable efforts to return to work with your pre-injury employer as soon as possible, having regard to the nature of the injury.

If you fail to comply with the injury management provisions or unreasonably refuse a job offer, your benefits could cease or be reduced for the period that the failure or refusal continues.

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