Residential Real Estate & Property for Sale & Lease in 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal details in the 'Claimant details' section. Fill in your last name, first name, address, phone number, email, and date of birth. If you are under the care of a specialist, indicate this and provide their details.
3. In the 'Claim details' section, specify when and where you first became aware of your industrial disease. Include the date and place. If applicable, indicate if you are suffering from any other contributing disorders.
4. Complete the 'Current employment details' if you are currently employed. Provide your employer's name and address, occupation, employment type (permanent, temporary, casual), and weekly wage amount.
5. If relevant, fill out the 'Mining industry employment details' with information about your last employer in that sector.
6. Proceed to complete any pension-related information if you receive a pension.
7. List all previous employers in the 'Employment History' section. Ensure to include dates and whether there was asbestos contact.
8. Finally, review the 'Claimant declaration and authorisation.' Sign and date this section to confirm that all provided information is accurate.

Start using our platform today for free to streamline your document editing experience!