Renewal Application Requirements

The renewal application includes the following requirements that must be completed to demonstrate how a provider will conform to the Conditions of Approval.

1. Provider details including:
   1. Business ownership details including association or connection with other organisations supplying services within the workers’ compensation industry.
   2. Documentation demonstrating how the applicant meets the Conditions of Approval.
2. A signed Statement of Commitment to the Conditions of Approval (Section 2.4, page 22).
3. A signed Statement of Commitment to the Code of Conduct for Workplace Rehabilitation Providers (Appendix 2.5, page 24).
4. Current staff details completed for each location where workplace rehabilitation services may be delivered in the event that the renewal application is approved (one sheet per location).
5. The prescribed fee, where appropriate.
6. Any other documentation requested by the workers’ compensation authority as part of considering the renewal application.

While considering a renewal application, the workers’ compensation authority may at any time request further information in writing from the provider and may liaise with other workers’ compensation authorities where the provider delivers workplace rehabilitation services to exchange information about the application.