Time Frame involved in notifying OWC and lodgement of a claim application.

• Notice of injury or death: Within 7 days from date of occurrence.
• Lodgement of a claim application for compensation – within 12 months from date of loss.

Requirement for lodging a claim application.

1.) Injury matter

1. Registration (mandatory documents)
   • WC Form 3 (completed by injured worker)
   • WC Form 11 (completed by employer)
   • Interim medical report (Sample Standard Medical Report Form)
2. Processing (mandatory documents)
   • Supervisor/Employer’s statement confirming the injury
   • Final medical report
   • ID Photo
3. Other supportive documents
   • Treatment records
   • Injured worker & witness statements
   • Payslip
   • Others such as Police or MVIL report if MV related injury
4. Settlement of claims (requirements)
   • Current bank statement
   • Confirmation letter from Employer with ID affixed

2.) Death matter

1. Registration (mandatory documents)
   • WC Form 4 (completed by dependents)
   • WC Form 12 (completed by employer)
   • Death Certificate – Coroner / Post Mortem
2. Processing (mandatory documents)
   • Supervisor/Employer’s statement confirming the Loss
   • Clinic books for dependent children under the age of 16 years
   • Dependency Declaration
3. Other supportive documents
   • ID Photo, witness statement, payslip
   • Others such as Police or MVIL report if MV related
4. Settlement of claim (requirements)
   • Current bank statement
   • Confirmation letter from Employer with ID affixed

See Duty Officer at the Counter for further enquiries or contact enquiries@owc.gov.pg