COMPARISON OF WORKERS' COMPENSATION ARRANGEMENTS

MAILING LIST REQUEST FORM

COMPARISON OF WORKERS' COMPENSATION ARRANGEMENTS

IN AUSTRALIA AND NEW ZEALAND PUBLICATION

If you would like to be on the mailing list to receive future editions of this publication you can email or fax your

details to the Victorian WorkCover Authority.

Attention 

Victorian WorkCover Authority

Publications Department

Level 25/222 Exhibition Street

Melbourne, Vic. 3000

Phone: (03) 9641 1333

Fax: (03) 9641 1330

Email publications@workcover.vic.gov.au

Please include me on the Comparison of Workers' Compensation Arrangements in Australia and New Zealand

publication mailing list.

Name:

___________________________________________________________________________

Position:

___________________________________________________________________________ 

Organisation:

___________________________________________________________________________ 

Street address:

___________________________________________________________________________ 

Suburb/town

____________________________________________________Postcode________________ 

Phone

___________________________________________________________________________ 

Fax:

___________________________________________________________________________ 

Email:

___________________________________________________________________________

Collection of personal information

Personal information collected by the Victorian WorkCover Authority (VWA) on this form will be used to process and

administer your order of the Comparison of Workers' Compensation Arrangements in Australia and New Zealand

publication.  Your details may also be placed on the mailing list to contact you in relation to other related products or

events, or for evaluating or improving our services.  If you do not want the VWA to use or place your details on our

mailing list, please let us know and we will remove your name from that list. 

Heads of Workers' Compensation Authorities  60