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Get Impairment Sections 98c & E Protocol Solicitor Inquiry Form Wsv Branded.doc - Worksafe Vic Gov
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How to use or fill out the Impairment Sections 98C & E Protocol Solicitor Inquiry Form WSV Branded.doc - Worksafe Vic Gov online
This guide provides straightforward instructions for filling out the Impairment Sections 98C & E Protocol Solicitor Inquiry Form. By following these steps, you can ensure that all necessary information is accurately recorded to support a claim for impairment benefits.
Follow the steps to fill out the Impairment Protocol Solicitor Inquiry Form online.
- Press the ‘Get Form’ button to download the form, which can then be opened for editing.
- In the ‘Worker’s Details’ section, input the worker's full name, address, claim number, and employer’s name.
- Proceed to the ‘Solicitor’s Details’ section, where you will need to enter your name, reference number, the name of the practitioner, name of the firm, address, and telephone number.
- In the ‘Inquiries Details’ section, confirm your representation by stating the worker's name, for whom you are acting regarding the impairment benefits claim.
- Record the date of the injuries sustained by the worker and list the body parts or systems affected, noting up to nine areas.
- List all medical practitioners who treated the worker for the specified injuries, along with the corresponding report dates.
- Document any prior or subsequent injuries or conditions affecting the claimed body parts or systems, including the respective dates.
- Note the medical practitioners who treated the worker for these prior or subsequent injuries or conditions.
- Ensure to confirm that you have explained the content of the request to the worker and that they understand their answers.
- Affix your signature and the date at the end of the form, certifying the information provided.
- Once all sections are completed, save your changes, and you can choose to download, print, or share the completed form.
Complete your documents online to ensure a smooth process.
Yes, WorkSafe Victoria has the authority to take legal action against individuals or employers for non-compliance with safety regulations. This could result from issues such as failure to follow the law or neglecting safety standards. Understanding your rights within this framework is critical. The Impairment Sections 98C & E Protocol Solicitor Inquiry Form WSV Branded.doc - Worksafe Vic Gov can illuminate your options.
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