This form may be used to notify GIO of a workplace injury or illness. Please notify GIO of any injury as soon as possible even if all of the information is not known.
Australian Capital Territory employers are legally required to notify GIO within 48 HOURS after becoming aware that a worker has sustained a workplace injury.
Note:
1. This is not a claim form. Completion and submission of claim forms are still required if a claim is lodged.
2. The employer is still required to maintain a Register of Injuries in the workplace.