Authority Forms

Your permission is needed so that we can access your medical and employment records. This information helps us determine your eligibility for compensation. Please complete and provide the relevant Authority forms so we can progress your application.

If you are making an application via our online portal, you can upload the completed forms as supporting documents.
If you are making an application via telephone, you can send us the completed forms via email or mail.

Email
DDCenquiries@icare.nsw.gov.au

Mail

Dust Diseases Care

GPO Box 5323

Sydney NSW 2001

Authority to release employment records 0.07 MB(pdf) | Uploaded 09 Mar 2022
Dust Diseases Care requires access to your apprenticeship and/or employment records to determine your application. Please complete this authority form to allow Dust Diseases Care to access those records.
Authority to release medical records form 0.04 MB(pdf) | Uploaded 13 Oct 2022
Dust Diseases Care requires access to your medical records to determine your application. Please complete this authority form to allow Dust Diseases Care to access those records.
Authority by next of kin to release employment records 0.04 MB(pdf) | Uploaded 09 Mar 2022
Dust Diseases Care requires access to any and/or all of the deceased worker's apprenticeship and/or employment records to determine your application. Please complete this authority form to allow Dust Diseases Care to access those records.
Authority by next of kin to release medical records 0.05 MB(pdf) | Uploaded 09 Mar 2022
Dust Diseases Care requires access to all the deceased worker’s medical records to determine your application. Please complete this authority form to allow Dust Diseases Care to access those records.

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