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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 89.9 KB)

Declaration of Actual Wages Form (PDF File 180.8 KB)

Direct Debit Request Form (PDF File 85.0 KB)

Grouping Exclusion Request Form (PDF File 118.1 KB)

Grouping Registration Form (PDF File 96.4 KB)

Premium Forms Definition (PDF File 80.3 KB)

Insurance Proposal (PDF File 252.5 KB)

A3 Poster Injury 3 Steps (PDF File 33.8 KB)

Statement of Product (PDF File 74.9 KB)

Terms & Conditions (PDF File 1.1 MB)


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