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Get Request Form For Assistance Visit WC03770 - WorkCover NSW

Form is collected by WorkCover in accordance with the Privacy and Personal information Protection Act 1998 (PPIP Act) for the purposes of the legislations that WorkCover regulate to establish and maintain a database that assists WorkCover NSW Authorised Officers or Inspectorate with their work and to provide you with information about other services we offer. You are required to provide this information in order for us to process your request form. Failure to provide the information may result i.

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