Here’s what you will need to provide:
1. Applicant’s eligibility for Dust
Diseases Care
- The circumstances in which the
applicant was exposed to dust
- The hazardous dust the applicant has
been exposed to
2. Preliminary questions
- Applicant’s current work status and
diagnosis information
3. Demographic details of the applicant
- Name
- Contact details (address, email,
phone number)
- Date of birth
- Gender
- Language spoken
- Accessibility needs
- Marital status
- Ethnicity
4. Medical history
- Month and year a dust disease was
diagnosed
- Month and year of most recent CT
chest scan
- Month and year of most recent lung
function breathing test (spirometry), if applicable
5. Examination & treating doctors,
if applicable
- Contact details of GP
- Contact details of respiratory
physician
- Contact details of other treating
medical practitioners
6. Dependents, if applicable
- Name
- Relationship to applicant
- Contact details (address, email,
phone)
- Date of birth
- Relationship
- Preferred contact method
7. Authorised persons, if applicable
- Name
- Relationship to applicant
- Contact details (address, email,
phone)
- Preferred contact method
- Indicate if this person has
authorisation to deal with case
8. Employment and exposure details
Full employment history including:
- Each employer’s name
- Month and year employment started
- Month and year employment stopped,
if applicable
- The location of employment
(Australian state)
- Employment type (full time/part
time/casual/self-employed/sub-contractor)
- Job title
- For each employer if exposure to
dust occurred
- Details of dust type
Refer to our Industrial history report information sheet for more details.
9. Supporting documents
You will
need to upload a range of supporting documents.
If you are
a worker, you can submit an application before all supporting documents have
been uploaded.
If you are
a solicitor, you will need to upload the proof of identity documents and
completed authority forms before you can submit an application.
You can
come back another time to upload any other documentation.
Proof of
identification documents for the applicant (mandatory for solicitors).
Accepted identity documents include:
- Driver's license or photo ID card
- Medicare card and a utility bill
Refer to our Proof of Identity fact sheet for details.
Completed Authority forms (mandatory for solicitors)
Medical and radiology reports
We require a variety of medical
information in order to determine an applicant’s claim. The medical information
required may vary between individuals and may include the following:
- Doctor’s letters
- Medical reports
- Radiology reports relating to the worker’s
disease and general health – please do not upload scans or x-rays
Employment & business ownership
documents
These documents aid us in preparing
an accurate industrial history record in support of your application and may
include the following:
- Letters of employment
- Pay slips
- Tax records
Tips for uploading documents
The worker’s name and date of birth
need to exactly match the identity documents provided
Upload documents in PDF, PNG, JPEG,
PPT, DOC, or XLS formats
Please do not upload:
- Files larger than 10MB
- Digital x-rays
- CT scans
10 Declaration and submission
- Check
the declaration box to indicate your agreement to the submission of the
application to DDC