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APPLICATION FOR ORDER FOR INSURER TO MAKE PAYMENT Form 103 NOTES FOR APPLICANT Complete this form to apply to the Director, Conciliation under section 182ZL of the Workers Compensation and Injury
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01
Start by writing the day of the month in the "dd" section. This is the numerical representation of the day, ranging from 01 to 31.
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Move on to the "mm" section and enter the month in numerical format. The months are represented from 01 to 12.
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Proceed to the "yyyy" section and input the year in four-digit format. For example, if the year is 2022, you would type 2022.
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Who needs ddmmyyyy - workcover wa?

01
Individuals who have experienced a work-related injury or illness in Western Australia may need to fill out the ddmmyyyy - workcover wa form.
02
Employees who are seeking compensation or support from Workcover in Western Australia may be required to provide this date on their worker's compensation claim forms.
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Employers in Western Australia may also need to reference this date when reporting work-related incidents or accidents to Workcover. By including the specific date, they can accurately document the time of occurrence and provide the necessary information for investigation and record-keeping purposes.
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ddmmyyyy - workcover wa refers to the reporting form required by WorkCover WA to report workplace incidents and injuries.
Employers and businesses in Western Australia are required to file ddmmyyyy - workcover wa when a workplace incident or injury occurs.
ddmmyyyy - workcover wa can be filled out online on the WorkCover WA website or by submitting a physical form to the WorkCover WA office.
The purpose of ddmmyyyy - workcover wa is to ensure that workplace incidents and injuries are properly documented and reported for investigation and prevention purposes.
ddmmyyyy - workcover wa must include details of the incident or injury, the individuals involved, witnesses, and any relevant circumstances.
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