Forms

Seacare produces a number of forms, which can be downloaded for use. Please browse the available forms below.

Exemptions

• Application for s20A Exemption (includes Guidelines) - Seacare Form 10  [pdf 372.2kb]

Occupational Health and Safety

• Incident Alert - Seacare Form 06  [links to AMSA Form 18]
• Incident Report - Seacare Form 07  [links to AMSA Form 19]

Seacare Online

• User Access Request Form  [pdf 94.2kb]

Seafarers Safety Net Fund Levy

• Berths and Levy Return - Seacare Form 11  [pdf 145.3kb] 

Workers' Compensation

• Claim for Workers' Compensation - Seacare Form 03  [pdf 102.7kb]
• Claim for Permanent Impairment and Non-Economic Loss and/or Related Aids - Seacare Form 04  [pdf 253.3kb]
• Claim for Compensation by Dependents of Deceased Employees [Claim for Death Benefits] - Seacare Form 05  [pdf 270.0kb]
• Employers determination of a claim for Workers' Compensation - Seacare Form 12  [pdf 258.4kb] 
• Claim Update Report - Seacare Form 08  [pdf 296.7kb]