Required WorkSafe Forms
A library of appropriate documents for you to request services for your claim
WorkSafe Home Help Request Form
In order to request Home Help services (lawn mowing, gardening and cleaning) your treater will need to fill this out and submit to your managing insurer for review.
DownloadWorkSafe Home Help Workers Declaration Form
In order to request Home Help Services initially, you must fill out this form and submit to your insurer accompanied with the "Worker Declaration Form" for review.
Download3 Month Gym Swim Membership Request
In order to request a 3 month gym swim membership, this form must be filled out by your treater and submitted to your managing agent for review.
Download