Initial notification of injury form where policy details are not known
To notify us on an injury, please answer the following questions. Questions marked with an asterisk* are mandatory. Once you submit this form, a case manager will be in contact within 48 hours.
Please note that if the incident involves a death, ‘serious’ injury or ‘dangerous occurrence’, you must also notify SafeWork NSW immediately on 13 10 50 – please refer to the SafeWork Australia’s notifying fact sheet for further information.