Report Accidents and Claim
Doctor claim forms
Accidents:
- Doctor's request for re-opening a claim.pdf
- WAc33 - Banking Details Confirmation for Payment.pdf
- WCl4 - First Medical Report in Respect of an Accident.pdf
- WCl5 - Final or Progress Medical Report in Respect of an Accident.pdf
- WCl20 - Enquiry Regarding Unpaid Medical or Chemist Account.pdf
- WCl31 - Supplementary Report on Injury to Hand.pdf
- WCl52 - Final Report on Eye Injuries.pdf
- WCl221 - Supplementary Report on Injury to Foot.pdf
- WG29 - Objection Against a Decision of the Commissioner.pdf
Diseases:
- Doctor's request for re-opening a claim.pdf
- WAc33 - Banking Details Confirmation for Payment.pdf
- WAl20 - Enquiry Regarding Unpaid Medical or Chemist Account.pdf
- WCl22 - First Medical Report in Respect of an Occupational Disease.pdf
- WCl26 - Final or Progress Medical Report in Respect of an Occupational Disease.pdf
- WCl53 - Dermatological Report.pdf
- WCl301 - WRULD Final Progress Medical Report.pdf
- WCl302 - WRULD First Medical Report.pdf
- WCl303 - First Medical Report in Respect of Post Traumatic Stress Disorder.pdf
- WCl304 - Final or Progress Medical Report in Respect of Post Traumatic Stress Disorder.pdf
- WG29 - Objection Against a Decision of the Commissioner.pdf
Employee claim forms
Accidents:
- WAc33 - Banking Details Confirmation for Payment.pdf
- WCl3 - Notice of Accident and Claim for Compensation.pdf
- WCl15 - Sprain Strain Questionnaire.pdf
- WCl32 - Declaration by Guardian or Widow or Widower.pdf
- WCl46 - Burial Expense Account.pdf
- WCl132 - Affidavit by Employee.pdf
- WCl215 - Special Report of Hernia Case.pdf
- WCl236 - Sworn Statement by Employee Late Report of Accident.pdf
- WCl258 - Payment of Lumpsum in Lieu of Pension.pdf
- WCl287 - Application for Supplementary Grant.pdf
- WG29 - Objection Against a Decision of the Commissioner.pdf
- WG30 - Application for Additional Compensation.pdf
- WG33 - Request for Payment of Pension via Electronic Transfer.pdf
Diseases:
- WAc33 - Banking Details Confirmation for Payment.pdf
- WCl14 - Notice of an Occupational Disease and Claim for Compensation.pdf
- WCl32 - Declaration by Guardian or Widow or Widower.pdf
- WCl46 - Burial Expense Account.pdf
- WCl132 - Affidavit by Employee.pdf
- WCl236 - Sworn Statement by Employee Late Report of Accident.pdf
- WCl258 - Payment of Lumpsum in Lieu of Pension.pdf
- WCl287 - Application for Supplementary Grant.pdf
- WCl305 - Employee Affidavit for an Occupational Disease.pdf
- WG29 - Objection Against a Decision of the Commissioner.pdf
- WG30 - Application for Additional Compensation.pdf
- WG33 - Request for Payment of Pension via Electronic Transfer.pdf
Employer claim forms
Accidents:
- Letter to CC regarding assault.pdf
- Letter to CC regarding MVA.pdf
- WAc33 - Banking Details Confirmation for Payment.pdf
- WCl2 - Employers Report of an Accident.pdf
- WCl6 - Resumption Report.pdf
- WCl21 - Goggle Questionnaire.pdf
- WCl32 - Declaration by Guardian or Widow or Widower.pdf
- WCl46 - Burial Expense Account.pdf
- WG29 - Objection Against a Decision of the Commissioner.pdf
- WAc33 - Banking Details Confirmation for Payment.pdf
- WCl1 - Employers Report of an Occupational Disease.pdf
- WCl6 - Resumption Report.pdf
- WCl32 - Declaration by Guardian or Widow or Widower.pdf
- WCl46 - Burial Expense Account.pdf
- WCl110 - Exposure History.pdfWCl110 - Exposure History.pdf
- WG29 - Objection Against a Decision of the Commissioner.pdf
- Revised implementation date for Compensation Fund’s claims system January 2020. Clients: it’s IOD business as usual: send us all your claim documents.
- Officials of the Fund inform us that CompEasy will be live early in the new year. Clients: send claim documents to your regular address or assist@wcawca.co.za. Enquire about our claim and document upload programme.
- No new claims are yet being registered on the Compensation Fund’s computer systems. Clients: have you registered for the new hand-held application? Please call Johan to enquire.
- No claim numbers are being issued by the Compensation Fund. Clients: has your MS Power BI IOD dashboard been installed? Please call Johan to install.
- Employers are advised: send your injured employees to the doctor with a completed WCl2 Accident Report, payslip and copy of ID. Clients: please check back with us for up-date developments on changes to COID processes.
- Employers: doctors may not turn away IOD patients. Contact us for advice. Clients: if you haven’t yet, please send us your documents to register on the CC’s new system.
