Australia form declaration 2026

1. Click ‘Get Form’ to open the Australia Form Declaration in the editor.
2. Begin with Section A, where you will enter the insurer details. Fill in the date of issue, insurer name, employer legal entity name, WCN, policy number, policy effective date, and total premium before loading approval.
3. Next, proceed to Section B for the Employer Declaration. Here, indicate your acceptance of the proposed premium by selecting either 'I accept' or 'I do not consent.' If you choose not to consent, provide the contact details of the nominated person who will be contacted by WorkCover WA.
4. Complete your information by signing and providing your position, date, email, and mobile number in Section B.
5. Finally, review all sections for accuracy before submitting. Ensure that you return this form to the insurer within 30 days to maintain your appeal rights.

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