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Department of Treasury and Finance

Tasmanian Risk Management Fund

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Forms

General Claims/Travel/Personal Accident

Marine Hull
Motor Vehicle
Workers' Compensation

Broking and Insurance Advisory

Minor civil claims and legal liaison

General claims	Word
Claims/Incident Report Form	TRMF Claim Incident Report Form.doc (236Kb)
Notice of required Schedule 1 Services (Excluding Workers Compensation)	SAMPLE Notice of required Schedule 1 Services (Excluding Workers Compensation) (DOCX 37Kb)
Official Order for Schedule 2 Services (Under-Excess)	SAMPLE Official Order for Schedule 2 Services (Under-Excess) (DOCX 36Kb)

Travel	PDF
Claim Form	AHI Claim Form Corporate Travel (403Kb)

Marine Hull	Word
Marine Hull Claim Form	QBE Commercial Hull and Boat Claim Form (281Kb)
Marine Hull - New Vessel Notification Form	New Vessel details form.doc (114Kb)

Motor Vehicle	Word/Excel
Motor Vehicle Claim Form	Motor_Vehicle_Claim_Form.xlsx (206Kb)
Motor Vehicle Claim Form - windscreen damage only	TRMF Motor Vehicle Claim Form - windscreen damage only (DOCX 65Kb)
Motor Vehicle Under-Excess Standard Letters	standard letters.doc (57Kb)
TRMF Vehicle Repairer List	TRMF Vehicle Bodywork Repairer List (31Kb)

Sample Workers Compensation Forms	Word/Excel/Link
Referral to Tribunal	refer link to TASCAT forms Section 81a Referral
Workers Compensation Claim Form	Sample Workers Compensation Claim Form (2Mb)
Section 81a Notice of Dispute	SAMPLE - s81a Notice to dispute letter (DOCX 44Kb)
General Notice of Appearance	refer link to TASCAT forms General Notice of Appearance
Travel Reimbursement Form	SAMPLE - WC Travel Reimbursement Form - blank (DOC 63Kb)
Wage Reimbursement Form	SAMPLE - Wage Reimbursement Form - blank (XLSX 28Kb)
Notice of required Schedule 1 Services (Workers Compensation)	SAMPLE Notice of required Schedule 1 Services (Workers Compensation) (DOCX 37Kb)

Broking and Insurance Advisory	Word
Official Order for Schedule 3 Services (nb: document contains hidden instructional text)	Official Order for Schedule 3 Services (Broking and Insurance Advisory) (DOCX 38Kb)

Minor civil claims and legal liaison	Word
Notice of required Schedule 1 Services (Minor civil claims and legal liaison) (nb: document contains hidden instructional text)	Notice of required Schedule 1 Services (Minor civil claims and legal liaison) (DOCX 41Kb)

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