UPlus Claims
Your UPlus construction income protection claims can be made directly through our team at Coverforce.
For your claim to be valid, you will need to provide proof to our satisfaction of any event or condition establishing your entitlement to benefits under the policy. You must also notify us immediately (in writing) of:
- Any accident, sickness or injury suffered by any Insured Person lasting for more than 30 days
- Any other circumstances which may lead to a claim under the Policy.
Processing your Claim
To process your claim, we require the following documentation:
- Completed Claim Form
- Medical evidence and reports from treating doctors (we are entitled to have the insured employee examined by a medical practitioner or other qualified person nominated by us at our expense)
- A UPlus Employer Statement
- A tax file number declaration form (issued by ATO)
- A copy of your job description
- Any other information or records relating to the income, attendance, and duties of the insured employee
- A certified copy of the Death Certificate of the insured employee or spouse (if applicable)
Note: To process the claim, you and the insured person must comply with these requirements. All information that has been requested should be provided to UPlus Pty Ltd. They will then pass on the information to Coverforce for the purpose of assessing the claim.
Click on the link below to begin your download:
Making a Claim Checklist
Please select your claim type below to view the checklist:
-
Section A of Claim Form - Injured Person's Statement
Completed by Employee -
Section B of Claim Form - Medical Practitioner's Statement
Completed by the Treating Medical Practitioner -
Section C of Claim Form - Employer's Statement
Completed by Employer -
Confirmation of Gross Weekly Workers Compensation rate employee has been receiving since date of injury
Please provide a copy of the correspondence received from the workers compensation insurers advising that liability has been accepted and stating the gross weekly workers compensation rate payable -
Wage records for the 26 weeks prior to the accident (gross)
Please provide week to week listing showing gross payable, allowances etc. -
Copies of all WorkCover Medical Certificates
Please note: These are only required if they are in your possession -
Site accident report
Should a site accident report not be available two or more witness reports completed on statutory declarations and signed by a Justice of the Peace are required. - Tax File Number Declaration (Australian Taxation Form)
Upon receipt of the provided information, it is at the absolute discretion of Coverforce to gain access to further information where necessary. Should you require any further information or to check the status of a current claim, please contact us.
- Section C of Claim Form – Employer’s Statement
Completed by Employer - Section A of Claim Form – Insured Person’s Statement
Completed by Employee - Section B of Claim Form – Medical Practitioner’s Statement
Completed by the Treating Medical Practitioner - Wage records for the 26 weeks prior to the accident (gross)
Please provide week to week listing showing gross payable, allowances etc. - Copies of all Medical Certificates, medical report and hospital discharge summaries
Please note: These are only required if they are in your possession - Tax File Number Declaration (Australian Taxation Form)
Upon receipt of the provided information, it is at the absolute discretion of Coverforce to gain access to further information where necessary. Should you require any further information or to check the status of a current claim, please contact us.
- UPlus Workers Compensation Top-Up Claim Forms
Completed by Employee - Medical reports to support your claim
Eg. Treating doctors report and Workcover Independent Medical Report - Certificate of Determination
Complying Agreement or an Application to Resolve a Dispute - Proof of Payment
A copy of the cheque or remittance advice from your workers compensation insurers payment
Upon receipt of the provided information, it is at the absolute discretion of Coverforce to gain access to further information where necessary. Should you require any further information or to check the status of a current claim, please contact us.
- Loss of Life Claim Form
Completed by person acting on behalf of estate - Death Certificate
- Birth Certificate
Please provide if available - Coroners Report
Please provide if available
Upon receipt of the provided information, it is at the absolute discretion of Coverforce to gain access to further information where necessary. Should you require any further information or to check the status of a current claim, please contact us.