Making a U-PLUS 24 Hour Accident claim (Work Related)

To ensure your claim is processed promptly and that you do not incur any unnecessary delays please ensure you have provided Coverforce with all documentation described in the following checklist:

 

»  Group Risk Employer's Form
Completed by Employer

»  Group Risk Member's Form
Completed by Employee

»  Group Risk Attending Doctor's Statement
Completed by the Treating Doctor

»  Confirmation of Gross Weekly Workers Compensation rate employee has been receiving since date of injury
Please provide a copy of the correspondence received from the workers compensation insurers advising that
liability has been accepted and stating the gross weekly workers compensation rate payable

»  Wage records for the 26 week prior to the accident (gross)
Please provide week to week listing showing gross payable, allowances etc.

»  Any copies of medical reports or hospital discharge reports etc.
Please note: These are only required if they are in your possession

»  Site accident report
Should a site accident report not be available two or more witness reports completed on statutory declarations and
signed by a Justice of the Peace are required.

»  A certified photocopy of photographic identification
Eg. Current Drivers License or Current Passport

»  Tax File Number Declaration (Australian Taxation Form)

 

Should you require any further information or to check the status of your claim, please contact us.

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