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For information and assistance on all workers compensation and injury management matters, telephone: 1300 366 322 (cost of local call) OR (03) 6166 4600 (outside Tasmania)Worker’s Claim for CompensationWorkers Rehabilitation and Compensation Act 1988PLEASE READ INSTRUCTIONS CAREFULLY✓To complete this form either:-Type your responses in the relevant fields, print the form and sign, or.-Print the form and complete by hand and sign. Use a ball point pen and print all answers clearly.✓The information provided on this form is important for the management of the injured worker’s claim. All questions must be completed by all parties concerned.✓Personal information collected from you for workers compensation processes will be used by the WorkCover Tasmania Board for that purpose and may be usedfor other purposes permitted by the Workers Rehabilitation and Compensation Act 1988 (the Act) and associated laws.✓Failure to provide this information may result in your claim not being processed or rec...