Get Medical Services Claim Form - Comcare Gov

Filling out the Medical Services Claim Form is a crucial step in claiming medical treatment and travel expenses related to work-related injuries or illnesses. This guide provides step-by-step instructions to help users navigate the form efficiently online.

Follow the steps to complete your claim form.

1. Press the ‘Get Form’ button to download the form and open it in your preferred editing program.
2. Begin by filling out your personal details in Part B, including your surname, given names, contact numbers, and residential address.
3. Provide details about your injury or condition, including the date of injury and the service provider's name.
4. List the description of the services you are claiming, such as medical services or travel expenses, and indicate the costs associated with these services.
5. If applicable, state the number of hours claimed for household services and note whether you have paid for these services.
6. Attach original invoices or receipts for all medical or travel costs claimed. Ensure that you have a copy for your records.
7. For travel claims, complete the relevant section by providing information on the dates, places traveled, type of transport used, and the reasons for travel.
8. Complete the Employee’s Declaration section at the end of the form, ensuring that you authorize Comcare to contact service providers if needed.
9. Sign and date the form to verify the accuracy of the information provided.
10. Save your completed form, then download, print, or share it as necessary before sending it to Comcare at the provided address.

Complete your Medical Services Claim Form online today to ensure your claims are processed promptly.