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workers insurance policy forms and downloads

Policy related forms and general information about your NSW workers insurance policy.

Cancellation Request Form (PDF File 122.6 KB)

Declaration of Actual Wages Form (PDF File 185.6 KB)

Direct Debit Request Form (PDF File 123.6 KB)

Grouping Exclusion Request Form (PDF File 153.1 KB)

Grouping Registration Form (PDF File 129.7 KB)

Premium Forms Definition (PDF File 113.3 KB)

Insurance Proposal (PDF File 252.6 KB)

A3 Poster Injury 3 Steps (PDF File 33.8 KB)

Statement of Product (PDF File 53.1 KB)


contact us

Phone: 13 44 22 - 7am to 7pm, Monday to Friday
Email: underwriting.operations@icare.nsw.gov.au
Postal Address: PO Box 6766, Silverwater NSW 1811