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Forms

  • Berths and Levy Return form (PDF 522.7 KB)
  • Claim for Compensation for a Work-related Death form (PDF 184.2 KB)
  • Claim for Permanent Impairment and Non-economic Loss form (PDF 181.4 KB)
  • Claim for Workers' Compensation form (PDF 190.2 KB)
  • Claim Update Report form (PDF 66.8 KB)
  • Declaration that Seacare Legislation Does Not Apply to a Ship Request form (PDF 104.8 KB)
  • Declaration that Seacare Legislation Applies to a Ship Request form (PDF 256.2 KB)
  • Employee and Ship Details form January to June (DOCX 481.8 KB)
  • Employee and Ship Details form July to December (DOCX 481.3 KB)
  • Employee and Ship Details online reporting
  • Extension of Time to Determine Workers' Compensation Liability Request form (PDF 160.5 KB)
  • Health and safety representative (HSR) network registration online form
  • Report on the Employer's Determination of a Claim for Compensation for a Work-related Death form (PDF 173.9 KB)
  • Report on the Employer's Determination of a Claim for Permanent Impairment form (PDF 173.6 KB)
  • Report on the Employer's Determination of a Claim for Workers' Compensation form (PDF 171.4 KB)
  • Request for Exemption from the Application of the Seafarers Act form (PDF 273.8 KB)
  • Exemption guidelines (PDF 224.8 KB)
  • Seacare Online User Access Request form (PDF 151.5 KB)
  • Workers' Compensation Insurance Arrangements online reporting 
Page last reviewed: 13 days ago

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The Seacare Authority acknowledges the traditional owners and custodians of country throughout Australia and acknowledges their continuing connection to land, sea and community. We pay our respects to the people, the cultures and the elders past, present and emerging.