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  3. Australian Capital Territory
  4. Frequently Used Forms

Frequently Used Forms

ACT Government - Frequently Used Forms

Download and complete the relevant forms below:

Application for Household and/or Attendant Care Services Authority or Removal to Act on Employee's Behalf Cessation of Employment - Detached CLAIM FOR COMPENSATION FOR A WORK-RELATED DEATH Claim for Time Off Work Form Claim For Time Off Work - Detached Employees COMPENSATION - PERMANENT IMPAIRMENT/NON–ECONOMIC LOSS Electronic Funds Transfer Form
Medical Services and Travel Claim Form
Request for Reconsideration Form Record of Earnings Form

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  • Employers Mutual Limited (ACN 000 006 486). EML is a trading name of Employers Mutual Limited.

EML Group is a partnership between Employers Mutual Limited ABN 67 000 006 486 (an Australian owned mutual) and ASWIG Management Pty Limited ABN 52 002 617 012. Products and services including workers compensation, general insurance and life insurance personal injury claims management are provided by different entities in the EML Group. Since 1910 these operations have been conducted jointly through subsidiaries and related body corporates of these entities.

In NSW, Employers Mutual NSW Limited ABN 52 003 201 885 is an appointed claims management provider for the Nominal Insurer (icare) and provides case management services for certain NSW government agencies (Insurance for NSW). In Victoria, EML VIC Pty Limited ABN 93 606 104 910 is an authorised claims services provider for Worksafe Victoria. In South Australia, Employers Mutual SA Pty Limited ABN 48 145 330 543 is an appointed claims agent for the ReturntoWorkSA. In the ACT, EML is an appointed claims services provider for the ACT government and other self-insured entities under the Comcare scheme.

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