The following forms are available for download in PDF format. Alternatively please call the Dust Diseases Board on (02) 8223 6600 and we will be happy to send you a form in the post.
Form One - Application by Worker for Medical Examination
Form Two - Application by Worker for Workers' Compensation Entitlement
Application by Dependent of Deceased Worker for Workers' Compensation Entitlement
Application by Dependent/s of a Deceased Worker for Compensation
Medical Authority Form
Medical Authority Form - Next of Kin
Form of Special Endorsement
Privacy Disclosure Statement