Visit the NT WorkSafe employer page for the latest forms and information and FAQs.

Please use the below forms for Northern Territory claims only.

Forms

  • NT Medical Certificate of Capacity — online
  • Medical & Pharmaceutical Items Reimbursement Form — online
  • Workers Compensation Timesheet — Claim for Payment — online
  • Travel Reimbursement Form — online / hardcopy
  • Bank Account Details — for EFT Payments — online
  • Miscellaneous/all other items Reimbursement Form — online

About GB's services

  • Introducing Gallagher Bassett — PDF
  • GB LaunchPad Flyer — PDF
  • GB Injury Hotline Poster — PDF
  • GB Injury Hotline Supervisor Flyer — PDF
  • Have you been injured at work? — PDF
  • After you lodge a claim — PDF
  • Return to Work: everyone's responsibility — PDF

Bulletins

  • Alternative Employer Incentive Scheme — online
  • Guidelines for settling of journey claims — online
  • Workers compensation insurance requirements for employers — online

Publications

  • Employers guide to workers' compensation — PDF / Word

Support Services

Useful Links