Workers Compensation Claim Form 2b (Reg 6aa)

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WORKERS’ COMPENSATION CLAIM FORM 2B
(REG 6AA)
SECTION 84(1)(b) OF THE WORKERS’ COMPENSATION AND REHABILITATION ACT 1981
Employer please give this factsheet to the injured worker
TO THE INJURED WORKER: Workers’ compensation can be claimed if you have had time
off work or incurred any medical costs because of a work related injury or disease.
Please read this factsheet and keep for future reference.
How to claim
If you believe you have been injured at work tell your employer or supervisor as soon as you can.
Fill in a “Notice of Occurrence of Disability” form (available from your employer), and record the injury in
your employer’s
Accident Report Book as soon as practicable.
See a doctor of your choice and ask for a First Medical Certificate.
Fill in the enclosed Workers’ Compensation Form (Form 2B) and give it and your First Medical Certificate to your employer as
soon as you can.
If you can’t fill in this form yourself you may ask someone else to help you.
What happens next ?
Your employer must send your claim to his/her insurance company within 3 working days of receiving it from you.
The insurance company must advise you (in writing) if your claim is accepted, disputed, or that more time to make a
decision is needed, within 14 days of receiving the claim from your employer.
If your employer is a self-insurer they must, within 17 days of receiving the claim from you, start your weekly payments if the
claim is accepted, or advise you (in writing) that the claim is rejected or that more time for a decision is needed.
The insurance company may assign an assessor to investigate your claim. It is your choice whether you agree to being
interviewed by the assessor and a person of your choice may accompany you.
Your employer and doctor may discuss your injury and your return to work options.
What are your entitlements?
Once your claim has been accepted your employer is required to pay (up to prescribed limits):-
Weekly payments - paid on your normal pay day for any period that your doctor has certified you require time off work. Call
WorkCover for information on the calculation of your weekly payment if necessary.
Medical expenses – reasonable hospital, medical and ancillary expenses resulting from your work related injury. You are
entitled to receive treatment from a doctor of your choice.
Vocational Rehabilitation expenses – If your doctor, employer and you agree specialist services are required to help your
return to work, an approved Vocational Rehabilitation Provider of your choice can be requested to assess your situation and
provide assistance, if appropriate.
Travelling expenses - reasonable travelling and accommodation expenses incurred while obtaining medical treatment.
How to maintain your claim
Regular contact between you, your doctor and your employer is important and will assist the overall management of your
claim.
Make sure your doctor gives you a WorkCover WA Brochure. This outlines what you should know about the system and
provides information on the injury management process.
Ensure you provide your employer with all medical certificates from your treating doctor as quickly as possible. You may wish
to keep a copy for your records.
An injury management system is in place and it is important you understand your rights and responsibilities in relation to your
return to work.
Discuss any concerns you have with your employer and doctor. If they cannot answer your questions, contact WorkCover
WA’s Infoline. WorkCover WA is the government authority that administers the workers’ compensation system in Western
Australia.
WorkCover WA is available as an independent third party to help answer your questions about how the workers’ compensation
system works.
WorkCover WA runs free information seminars for injured workers every 3 weeks aimed at helping you understand the
workers’ compensation system. Contact WorkCover WA to arrange your attendance.
Should you have any problems with any aspect of your claim contact your employer or union,
or WorkCover’s Infoline on: 9388 5555 (metro), 1800 670 055 (country) or TTY (for the hearing
impaired) 9388 5537. If necessary, an Interpreter can be arranged by WorkCover.

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