Compensation jurisdiction forms and fees

Forms

For more information about procedures in the residual jurisdiction, please refer to Schedule 11 of the Uniform Civil Procedure Rules 2005.

• Statement of Claim - Coal Miners' Compensation List (PDF, 36.6 KB)
  
• Statement of Claim - Coal Miners' Compensation List  (DOC, 83.5 KB)
• Certificate of Compliance (Coal Miners) (PDF, 18.8 KB)
• Certificate of Compliance (Coal Miners) (DOC, 55.5 KB)
• Statement of Claim - Coal Miners' Compensation (Redemption) (PDF, 24.4 KB)
• Statement of Claim - Coal Miners' Compensation (Redemption) (DOC, 71.0 KB)
• Statement of Claim - Deceased Worker (PDF, 32.4 KB)
• Statement of Claim - Deceased Worker (DOC, 70.5 KB)
• Statement of Claim - Bush fire / emergency & rescue services / DDT / sports injuries (PDF, 33.4 KB)
• Statement of Claim - Bush fire / emergency & rescue services / DDT / sports injuries (DOC, 74.5 KB)
• Application for Medical Panel (PDF, 80.7 KB)
• Application for Medical Panel (DOC, 205.0 KB)
• Application for Medical Panel - Boilermaker Deafness (PDF, 22.8 KB)
• Application for Medical Panel - Boilermaker Deafness (DOC, 70.0 KB)

Applications under Workers Compensation (Bush Fire, Emergency and Rescue Services) Act 1987

Disputes for compensation under the Workers Compensation (Bush Fire, Emergency and Rescue Services) Act 1987 are determined in the District Court in its Residual Jurisdiction.  For further information see linked document (DOC, 34.5 KB).

Fees

There are no fees specific to the residual jurisdiction. For non-specific court services including requests for transcripts, see fees for general court services.