Get Workcover Wa Date Dismissal Effective Form

Completing the Workcover Wa Date Dismissal Effective Form online is a crucial step in managing an employee's dismissal effectively. This guide will walk you through each component of the form to ensure accurate and timely submission.

Follow the steps to successfully complete the form.

1. Click 'Get Form' button to obtain the form and open it in your editor.
2. Fill in the worker's details. Begin with the worker's title, surname, and date of birth. Next, provide any other names used by the worker, their gender, occupation, address, postcode, and telephone number.
3. Enter the WorkCover claim number (WCCN). If it is not available, the insurer can provide this information.
4. Provide the employer's details including the name, address, postcode, telephone number, and contact person's information.
5. You should also fill in the WorkCover number (WCN) if it is known and include the contact person's title and surname.
6. Next, move on to the insurer's details. Include the insurer's name, address, postcode, policy number, title, surname, and telephone number.
7. In the injury details section, document the description of the injury, the date it occurred, and the claim number.
8. Finally, ensure that notice has been given to the worker and WorkCover WA. This section must be signed on behalf of the employer, noting the dates of the notices.
9. After thoroughly reviewing the form for accuracy, save your changes and proceed to download, print, or share the form as necessary.

Complete and submit your Workcover Wa Date Dismissal Effective Form online today for efficient processing.