IMPORTANT NOTICE TO SCHEME CREDITORS

On 3rd November 2023, CCI’s Scheme of Arrangement became effective and binding on all Scheme Creditors. To find out more please visit our Scheme of Arrangement page here.

Please be advised, from 2 April 2024 CCI appointed EML as a Third Party Administrator to manage Workers’ Compensation claims.  If you have queries about a Workers’ Compensation claim please call 1800 469 931 or email CCIclaims@eml.com.au.

About Contact Us News
  • Home
  • Commercial Insurance
  • Worker's Compensation
  • Home
  • Commercial Insurance
  • Worker's Compensation
  • About
  • Contact us
  • News
CCInsurance
  1. Home
  2. Workers Compensation
  3. Employer
  4. New South Wales
  5. Links and forms

Links and forms

In this section
  • Lodging a claim
  • Determining liability
  • Dispute resolution
  • Compensation
  • Your obligations
  • Links and forms
  • What happens is an employer is uninsured?
  • Employer obligations
  • Coronavirus FAQ’s
  • Policy grouping
  • Choice of provider
  • Injury management

Links and forms

Forms & Resources

  • Worker's Injury Claim Form

    Use this workers compensation claim if requested by your employee.
    Download document ›
  • Certificate of Capacity

    The certificate of capacity is used by the insurer to make decisions about a worker's capacity for work and their entitlement to compensation.
    Download document ›
  • Policy Wording - Employers' Indemnity Insurance

    Download document ›
  • Weekly Compensation Wage Reimbursement Form

    Download document ›
  • Register of injuries

    Use this template to record any workplace injuries or illnesses sustained by your workers.
    Download document ›
  • Injury Management Program

    CCI's Injury Management Program in New South Wales
    Download document ›
  • Pre-injury Average Weekly Earnings (PIAWE) Form

    This form may be used to supply the information required to determine a worker’s pre-injury average weekly earnings.
    Download document ›

Links

  • SIRA NSW

    The state authority for NSW
  • Safe Work Australia

    Safe Work Australia leads the development of national policy to improve work health and safety and workers' compensation arrangements across Australia.
  • Independent Review Office

    Workers Compensation Independent Review Office
  • Test Safe Australia

    Test Safe carries out a range of testing to ensure workplaces, and any equipment used in workplaces, is safe.

This website uses cookies to ensure you get the best experience on our website. Learn more on our Privacy Policy.

Catholic Church Insurance

Suite 2114, Level 2, 555 Collins Exchange
Melbourne VIC 3000

Commercial Insurance

Get to know us

  • About
  • Our Senior Leadership Team
  • Our Corporate Sustainability
  • Our Board
Copyright © 2024 Catholic Church Insurance. Site by Andmine™
Privacy Policy
Terms of Use
Complaints
Annual Reports