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Valuation of liability transfer payment guidelines DOCX (516k)
(11 Feb 2022) This document describes the process for determinig the value of a liability transfer payment when applying to be registered as a self-insured employer
https://www.rtwsa.com/media/documents/Self-insured-valuation-of-liability-transfer-payments-guidelines.docx -
Installing widget on MD eWCC v1.1 PDF (448k)
(3 Aug 2020) User guide installing widget on MD eWCC
https://www.rtwsa.com/media/documents/User-Guide-Installing-Widget-on-MD-eWCC-v1.1.pdf -
Silicosis health screening in your workplace - postcard PDF (63k)
(9 Aug 2021) Silicosis health screening in your workplace - postcard
https://www.rtwsa.com/media/documents/Silicosis-health-screening-in-your-workplace-postcard.pdf -
Permanent Impairment Services Fee Schedule PDF (436k)
(17 Jun 2025) Fee schedule
https://www.rtwsa.com/media/documents/fee-schedules/permanent-impairment-services-fee-schedule-1-july-2025.pdf -
Return to Work Coordinator appointment change of details form DOCX (78k)
(18 Nov 2021) Complete this form to appoint or change the details of your Return to Work Coordinator. All businesses in South Australia who employ 30 or more workers are required to appoint and retain a trained return to work coordinator.
https://www.rtwsa.com/media/documents/Return-to-work-coordinator-change-details-appointment-form.docx -
Table 1 Serious Injuries XLSX (28k)
(28 Nov 2025) Table 1: Serious Injuries. Guidance on completing Table 1: Where possible redemption payments and estimates to be split by income/ s56A and medical costs. Claim Number. Worker Age. Date of Injury. WPI % (actual or estimated). Lump Sum (s58). Income.
https://www.rtwsa.com/__data/assets/excel_doc/0007/277486/Actuarial-Valuation-Appendices-Template-V1-Sept-25.xlsx -
Mental Health Occupational Therapy Data File XLSX (14k)
(17 Jun 2025) This document contains mental health occupational therapy fee data for easy uploading into your system.
https://www.rtwsa.com/media/documents/fee-schedules/mental-health-occupational-therapy-data-file-1-july-2025.XLSX -
Whole Person Impairment NIHL assessment report template DOCX (105k)
(2 Dec 2025) Whole person impairment assessment report template for assessors of noise induced hearing loss injuries for the Return to Work scheme
https://www.rtwsa.com/media/documents/impairment-assessment-report-template-nihl-effective-23-september-2024-updated-IAG.docx -
Application for Renewal of Self-insurance registration DOCX (15k)
(8 Sep 2017) This document is a template available for a self-insured employer to use. Application for renewal is a legislative requirement.
https://www.rtwsa.com/media/documents/Self-insured-application-for-renewal-of-registration.docx -
Workplace health and safety evaluation guidelines DOCX (846k)
(2 Sep 2020) Guide to the WHS Performance Standards for Self-insured Employers
https://www.rtwsa.com/media/documents/Self-insured-workplace-health-and-safety-evaluation-guidelines.docx
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Date printed: 06 Mar 2026
