Providers — Lodge An Invoice

Invoices can be submitted using the form below.

Alternatively you can email invoices to NTReturnToWork@gbtpa.com.au.

Or lodge via post to:
Gallagher Bassett
PO Box 1929 Darwin
NT, 0801.

Providers — Lodge an invoice (NT)

Please use for Northern Territory Claims Only

Please note that in emailing this form to Gallagher Bassett from your designated email account, you declare that you have paid for this service and that the details of this form are true and correct and are related to your compensable disability. If insufficient evidence is received, we will not pay until relevant information is provided.