WorkCover claim form (Vic)

Here’s a blank copy of the WorkCover claim form.

Click the button at the bottom of this page to download a blank copy of the claim form.

You can download it directly from this page without having to enter an email address.

If you don’t want to access it from this page, you can get a copy from WorkSafe, many post offices, your union (if you’re in one) and many lawyers.

Note: you should take your time filling in a WorkCover claim form. 

It will not only be used to determine your claim, but also throughout your whole WorkCover journey.

This includes pursuing a common law lump sum claim.

And for this reason, it’s important to get the form right.

Because of this, we’ve included some further helpful resources on this page to assist you.

Any questions? Reach out to us and we’ll see if we can help.

Michael & Peter

Get a copy of the WorkCover claim form

WorkCover claim form (Vic)