Information for Injured Workers
How to make a claim
If you’ve been injured at work and would like to make a claim, contact your council’s Return to Work Coordinator. Or you can complete an Employee Claim Form and submit it to your council’s Return to Work Coordinator.
If you need further assistance, contact us and we’ll get back to you within one working day.
Further information about the workers compensation claims process may be found in SIRA’s Injured at work guide.
You can find StateCover’s Privacy Policy and Collection Statement here.
How to make a complaint
Your feedback is important as it provides us with the opportunity to improve our service to you and our other Members.
If you would like to make a complaint, please contact your Case Manager. If your Case Manager is unable to resolve your complaint, and you would like the matter escalated, please contact us and we’ll get back to you within one working day.
If we are still unable to resolve your complaint, you may seek further assistance from:
Workers Compensation Independent Review Office (WIRO)
WIRO can be contacted on 13 94 76 or contact@wiro.nsw.gov.au, about the management of your claim by StateCover.
State Insurance Regulatory Authority (SIRA)
SIRA’s customer service centre can be contacted on 13 10 50 or contact@sira.nsw.gov.au, to assist with resolving any matter that involves your employer, treatment or service provider.
Useful Documents
Worker Expense Reimbursement Claim Form
For workers to complete when seeking reimbursement from StateCover for e.g. pharmacy, travel, and other out-of-pocket expenses because of their workplace injury.
EFT Authorisation Form - Worker
Form for a worker to request and authorise StateCover to make payments directly by EFT.
Information Authority
To be completed by the worker to permit StateCover to collect personal and health information so their claim can be assessed and effectively managed.
