This facility enables employers to request reimbursement of income maintenance paid to an injured worker. Download and print out the form in the Downloads section and send it to us, or use the online form below:
To see how easy it is to complete your online IMR form view our demonstration:
Contact the WorkCover Service Centre on 13 18 55 if you want to know more about this facility.
Income maintenance reimbursement slip [204KB]
Technical requirements
Netscape users:
These forms will
not function correctly using the Netscape Navigator browser. You will need
Internet Explorer® 6.0 or higher. You can download
Internet Explorer® 6.0 or higher from
Microsoft's Download Center.