Complete the form below and click 'submit'. Your Name Email Phone Number Employer Employment Area Employment Type CasualPart TimeFull Time Date tested positive for COVID: Who were you working with at the time? Did any of these workers have COVID? Who do you take breaks with? Did any of these workers have COVID? Did any of your household have COVID before you? Did you visit any known hotspots before you got COVID? How long did you have off work? How severe was your illness? Do you have any ongoing effects from COVID? What evidence do you have of your COVID infection (test photos, doctors certificate etc.)? Have you attempted to make a claim with the company? Did you receive any payment from the company or from Government? Join Online Now
