Workers' Compensation

WORKERS' COMPENSATION

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TO LODGE A WORKERS COMPENSATION CLAIM YOU NEED TO:

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1. Complete an Employer's Report of Injury Form.

2. Obtain a complete Claim Form 2B from your injured worker.

3. Obtain a First Medical Certificate from your injured worker.

4. If required, obtain completed Statement of Witness form, Recurrence of Injury Claim form, or Journey Claim form.

 

Please send the completed forms and documentation to Provident Insurance Services within 5 working days from when the injured worker provided you with the signed and dated Claim Form 2B and first medical certificate.

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•     Email: insurance@provident.com.au 

•     Fax: (08) 9389 5852

•     Mail: PO Box 424, Nedlands WA 6909

Provident Insurance Services will lodge these forms on your behalf.