
Forms
Freedom Of Information
Example 1:
To Whom It May Concern (Insurer/ Claims Manager / etc)
Under the Freedom Of Information, Section 107 of the Accident Compensation Act. I hereby request my file unabridged and complete. I request all notes on computer file, notebook or note pad. I request all photography and surveillance notes – still video –all audio recordings, connected to my file, not just audio file of myself, but all audio file where my claim is the main topic of discussion. Please send this as soon as possible to ( Legal Firms name and address,
or G.P. name and address )
Claim name and number.
Example 2:
To Whom It May Concern ( Insurer / Claims Manager / etc )
Under the Freedom Of Information, Section 107 of the Accident Compensation Act, I hereby request that you please send the report by (Dr …………..) which I attended for a review on
the ( date) Please send this assessment as soon as possible to my treating doctor (Dr …………). or legal firms name and address.
Claim name and number.
Injury Claim Forms
Can be obtained from Worksafe Advisory Service or the Post Office.
Conciliation Forms
Can be obtained by ringing ACCS on 0 3994 0111
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