Get Application For Weekly Payments After The Second ... - Vwa.vic.gov.au

This guide provides clear and supportive instructions for completing the Application For Weekly Payments After The Second Entitlement Period. By following these steps, users can effectively navigate the application form and ensure all necessary information is submitted correctly.

Follow the steps to complete your application online:

1. Click the ‘Get Form’ button to obtain the form and access it in your chosen online editor. This will allow you to fill out the document digitally.
2. Begin by entering your worker details. Fill in your first name, last name, date of birth, current address, postal address (if different), and current contact number. Additionally, provide your claim number, injury employer, mobile number, and date of injury.
3. In the current employment details section, specify the employer's business name, address, contact information, your occupation and duties, along with your weekly earnings and hours of work. If you have more than one employer, include these details on a separate sheet.
4. Proceed to the authority section where you can authorize your WorkSafe Agent to contact your current employer(s), accountant, and income protection insurer for necessary information. Select yes or no for each party and provide details for any authorized contacts.
5. Attach mandatory documentation required for a valid application. This includes proof of current hours worked and income, certificates of capacity, a written opinion from your treating medical practitioner, and tax returns as required.
6. Include any other relevant attachments such as other employer details or a Tax File Number Declaration form, if applicable.
7. Finally, review and complete the worker declaration section. Read the provided information thoroughly, print your name, date of the application, and add your signature to confirm the accuracy of your submission.
8. Once you've input all necessary information and attached the required documents, you can save your changes, download the application, print it for your records, or share it as needed.

Complete your application online and ensure your entitlements are properly managed.