IOD Forms

Download the forms you need for IOD claims and documentation.

CF Forms

Anaesthesia Form
Form for anaesthesia services under COIDA.
Download
Annexure F
Additional documentation for COID claims.
Download
Assault Report Form
Form for reporting assaults in terms of COIDA.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COID - Request for Opening a Claim
Form to request opening a COID claim.
Download
COIDA Service Guide
Comprehensive guide to COIDA services and procedures.
Download
COVID-19 Questionnaire
Questionnaire for COVID-19 related claims under COIDA.
Download
COVID-19 Questionnaire
Questionnaire for COVID-19 related claims under COIDA.
Download
COID - W.Cl.14 - Notice of Disease and Claim
Notice of occupational disease and claim for compensation.
Download
Exposure History Form
Form to document exposure history.
Download
COID - W.Cl.4 - First Medical Report
First medical report for COID claims.
Download
COID - W.Cl.4 - First Medical Report
First medical report for COID claims.
Download
Physiotherapy Part 2 Report
Part 2 of the physiotherapy treatment report.
Download
Physiotherapy Part 2 Report
Part 2 of the physiotherapy treatment report.
Download
Physiotherapy Part 2 Report
Part 2 of the physiotherapy treatment report.
Download
Physiotherapy Part 2 Report
Part 2 of the physiotherapy treatment report.
Download
Physiotherapy Treatment Plan
Initial evaluation and treatment plan for physiotherapy.
Download
Physiotherapy Treatment Plan
Initial evaluation and treatment plan for physiotherapy.
Download
COID - W.Cl.5 - Final or Progress Medical Report
Final or progress medical report for COID claims.
Download
COID - W.Cl.5 - Final or Progress Medical Report
Final or progress medical report for COID claims.
Download
Transport Questionnaire
Questionnaire for transport-related claims.
Download
Enquiry Re Unpaid Account
Form to enquire about unpaid medical or chemist accounts.
Download