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:
- Employers Statement
Completed by Employer
- Employee Preliminary Claim Form
Completed by Employee
- Preliminary Medical Attendants Statement
Completed by the Treating Doctor
- Confirmation of Gross Weekly Workers Comp. rate employee has been receiving since date of diagnosis
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 date diagnosis (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
- 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.
» Return to the U-PLUS home page