If you have any questions in regards to

completing this form see page 5 or contact

Intermediary Code our Premium Team on (03) 9297 9232 or
[email protected]
Forgotten or need a code? Click Here

APPLICATION FOR A WORKSAFE

INSURANCE POLICY

WorkSafe use only 7. Contact person

Policy effective date
We recommend the contact person be an employee or the business
/ / owner, not an external accountant or solicitor.
Name
EMPLOYER DETAILS
bhart arora
1. Name of your WorkSafe Agent Position
Gallagher Bassett Services Workers Compensation Vic Pty Ltd director
Mailing Address
2. Legal Name of Employer 2/102-104 biggs st st albans vic 3021
Your legal name may be different from your trading name. If a
trust, give the name of the trustee, and the trust (see page 3 for
examples).
shri radhe pty ltd Telephone

3. Type of Entity Mobile Phone

Sole proprietor 0499362565

Partnership Fax
✔ Company (registered under Corporations Act)
Trustee Email
Other (give details) [email protected]
Website

4. If applicable, Australian Business Number and Australian

Company Number
ABN
35676473902

ACN
676473902

5. Have you registered or do you intend to register for GST?

✔
Yes No
If Yes, provide a copy of your GST certificate to your WorkSafe Agent.
6. Company directors or business owners
Surname Given Names
arora bhart
bajaj gourav

Page 1 of 9
 BUSINESS DETAILS
8. Why are you making this application? (tick any that apply) 15. Do you have a holding or subsidiary company?
✔ employing, or intending to employ, workers Yes ✔
No
employing, or intending to employ, apprentices or trainees
Under section 50 of the Corporations Act 2001 a holding subsidiary
setting up your own new business relationship will exist if:
✔ buying a business that was previously unrelated to you
• a company holds more than 50% of the issued share capital of
a merger involving the formation of a new company another company; or
a sole trader or partnership converting to a company • a company controls the composition of the board of directors of
a company converting to a sole trader associate or a partnership another company under section 47 of the Corporations Act 2004; or

as a result of entering into insolvency i.e. appointment of a • a company can cast or control the casting of more than 50% of the
liquidator, trustee for a bankruptcy or a receiver and manager votes which can be cast at a general meeting.
a change of partners in a partnership 16. Do you or any entity that substantially influences the running of
Other reason (give details) your business have a substantial influence over the operations of
another business?
Yes ✔
No
This influence could be through ownership or in any other way.

17. Does your business RECEIVE all the goods produced or services
9. Employment commencement date (see page 4) provided by another business?
29 / 10 / 2024 Yes ✔
No
10. Do you wish to take up the Policy excess and Buy-out option? 18. Does your business SUPPLY its goods or services to less than four
✔
Yes No other businesses?

11. Have you purchased or taken over an existing workplace or Yes ✔

No
business? 19. Is your business involved with any other business or with
✔
Yes No businesses represented together as a single business?
Yes ✔
No
If applicable, Legal name of previous employer
If Yes to any of questions 13 to 19, provide details of other businesses,
Vohra Managment Trust
if more than 2, attach information on a separate page.
WorkSafe Employer Number
Business Name

What is your relationship to that employer?

WorkSafe Employer Number
Friend

12. If you answered Yes to question 11, Workplace Address

At any time, did any person (or any of their associates) who has a
direct or indirect interest in your business also have a direct or
indirect interest in:
• the workplace you have purchased
or taken over? Yes ✔
No
• a business that is connected, associated
Business Name
or related to the workplace you have
purchased or taken over? Yes ✔
No
13. Does any of your staff primarily provide services to another WorkCover Employer Number
business?
Yes ✔ No
Workplace Address
14. Are the operating requirements of your business (including raw
materials, facilities, resources, administration and services)
substantially supplied to you by one other business?
Yes ✔
No

20. Have you been notified by the State Revenue Office of Victoria that
you are a member of a group under the Pay-roll Tax Act 1971?
Yes No

Page 2 of 9
 WORKPLACE DETAILS
If you have more than one workplace, copy and complete the workplace 27. List the key types of raw materials, classes of equipment, or
details section of the form for each additional workplace. processes used to produce or supply the goods or services.

21. How many workplaces do you have? Raw Materials:

1 Flour, cheese, tomoto sause, mushroom, capcicum, onion,

22. Business or trading name

pizza hut Equipment:
oven, dough machine, cold room, dish washer

23. Physical location of workplace

317 spring street reservoir vic (3073) Processes:
mix ingredints place on the oven

28. Do you own the goods you sell?

24. Workplace commencement date

✔
Yes No Not applicable
This is the date you started, or will start, employing at this workplace. 29. Does this workplace supply goods or services mainly or wholly to
23 / 10 / 2024 any other workplace in your business
Yes ✔
No
Your activity and revenue/costs
For more information and examples, see page 5. If Yes, provide workplace address.

25. What do you consider is your predominant activity in this

workplace and why?
Preparing and making pizza for takeway

30. Do you have substantial dealings with a business that shares or

that neighbours your workplace?
Yes ✔
No

26. List the key goods or services that you intend to produce or For example:
provide at the workplace. • raw material or initial product supplied by one business is
Pizza, Pasta, chicken wings and chips
processed to a finished product by another business
• product made by one business is sold or marketed by another.

31. Revenue and costs for the next twelve months

Product / service Sales / revenue - Cost of goods sold or services Cost of labour -
the gross amount you receive from provided - all costs relating to your workforce
selling your goods or services the cost of raw materials (if any), the including salary/wages, training
cost of equipment used in your costs, superannuation, benefits, etc
business, energy costs, etc

pizza,pasta/ delivery & takeway $704,840 $296,376 $230,932

Page 3 of 9
32. Estimate of rateable remuneration (see page 5)
Rateable remuneration For CURRENT YEAR ending For NEXT YEAR ending 30 June Do not include remuneration and
30 June superannuation for exempt
apprentices and/or exempt trainees.
Salaries and Wages $ $
Penalties may apply if you
Contractors deemed to be your $ $ underestimate remuneration.
workers
If you become aware that your
Rateable Fringe benefits $ $ actual remuneration will exceed,
$ $ or is likely to exceed, your latest
Other remuneration
estimate by more that 20%,
Superannuation $ $ you must tell your WorkSafe
Agent of your revised estimate
Total Rateable Remuneration $ $ within 28 days.

33. How many workers do you expect to employ for this year? 34. Estimate exempt remuneration for apprentices and/or trainees
Full Time Current Year
2 $ 0
Part Time Next Year
0 $ 0
Apprentices/ Trainees to a Company

3 (casual)

CONSENT AND DECLARATION • The applicant declares that any personal information disclosed on
this form and any further personal information provided in
connection with WorkSafe Insurance has been or will be collected,
COLLECTION OF PERSONAL INFORMATION used and disclosed in accordance with applicable privacy
legislation.
Personal information is collected by WorkSafe or WorkSafe Agents on
this form for the purpose of assessing your application for a WorkSafe • The applicant consents to the use and disclosure of any personal
Insurance Policy. Personal information collected on this form may also information, which is collected on this form or further provided in
be used and disclosed for the purpose of administering and evaluating connection with WorkSafe Insurance, for the purposes outlined in
the WorkSafe Insurance scheme and other related purposes. To fulfil ‘Collection of Personal Information’.
these purposes, WorkSafe or WorkSafe Agents may disclose the
personal information collected on this form to each other, or to Signature of Person authorised to act on behalf of the Employer
organisations such as other authorised agents and service providers.
If you do not provide any part or all of the information requested, your
Date of Signing
application may not be processed. If you wish to access your personal
information, you may contact WorkSafe’s Freedom of Information officer / /
or the WorkSafe Agent.
Print Full Name (use block letters)
You can access the WorkSafe Privacy Policy at worksafe.vic.gov.au.

Print Title
FALSE OR MISLEADING INFORMATION
bhart arora
Before completing this declaration it is important that you ensure you
have provided all relevant information and that the information provided
is true and correct. If you have any questions in regards to
To provide false or misleading information is a serious offence under completing this form see page 5 or contact
the Accident Compensation Act 1985 and the Accident Compensation our Premium Team on (03) 9297 9232 or
(WorkCover Insurance) Act 1993 which can result in your incurring severe
penalties or imprisonment. [email protected]
• I understand that WorkSafe will assess this application for
WorkSafe Insurance on the basis of the information provided in this
form. I have understood the questions set out in the form and
SUBMIT FORM
understand the information which I have provided.
• I am authorised by the applicant to complete this form and sign
this declaration on behalf of the applicant.
• The applicant declares that all relevant information has been
provided in answer to questions on this form and that the
information given is true and correct.

WorkSafe Victoria is a trading name of the Victorian WorkCover Authority.

FOR554/07/11.10 Page 4 of 9
 REGISTRATION FOR WORKCOVER
INSURANCE FORM - GUIDANCE

CONTENTS APPLYING FOR WORKCOVER

INSURANCE IN VICTORIA
REGISTERING FOR WORKCOVER
INSURANCE IN VICTORIA 5 WHAT IS WORKCOVER INSURANCE?
What is WorkCover Insurance? .......................................................5 WorkCover Insurance is compulsory insurance which is funded by
Who needs to register for WorkCover Insurance? .........................5 contributions from Victorian employers. It provides businesses with
How to register .................................................................................5 insurance cover for the cost of benefits if your workers are injured
For further information ....................................................................6 or become ill because of their work.
Important disclaimer .......................................................................6
If a worker is injured, they are entitled to weekly benefits, medical
Definitions and terms ......................................................................6
and rehabilitation treatment costs, legal costs or, in the event of
a serious injury, lump sum compensation. The cost of providing
EMPLOYER DETAILS 7 these benefits to an injured worker can run into the hundreds of
thousands or even millions of dollars.
WorkCover Agents............................................................................7
Legal name of employer ..................................................................7
Type of entity ....................................................................................7 WHO NEEDS TO REGISTER FOR WORKCOVER
ABN and ACN ...................................................................................7 INSURANCE?
GST status ........................................................................................7
Generally, you must be registered for WorkCover Insurance if:
Company directors or business owners .........................................7
• you employ workers and you expect to pay more than $7,500
a year in remuneration (this includes wages, benefits and
BUSINESS DETAILS 7 superannuation), or
Reason for registration ....................................................................7 • you employ apprentices or trainees, regardless of the
Employment commencement date ................................................8 amount of remuneration paid.
Insurance excess and Buy-out option.............................................8
You need to be registered from the date you meet either of the
above conditions. If you employ apprentices or trainees you are
WORKPLACE DETAILS 8 required to pay at least the minimum premium.

Number of workplaces ....................................................................8 Your Registration for WorkCover Insurance must be received
Business or trading name ...............................................................8 within 60 calendar days of the date you are required by law to be
Physical location of workplace ........................................................8 registered for WorkCover Insurance.
Workplace commencement date ....................................................8 If you don’t register when required, you will be considered to be
Your activity and revenue/costs .......................................................8 in breach of the Workplace Injury Rehabilitation and Compensation
Estimate of rateable remuneration .................................................9 Act 2013 and may face severe penalties, including the full costs of
compensation if a worker is injured.

HOW TO REGISTER
This document contains a Registration for WorkCover Insurance
form and information to help you complete the form.
If you have more than one workplace, copy and complete the
Workplace details section for each additional workplace.
In Victoria, WorkCover Agents issue and administer WorkCover
Insurance on behalf of the Victorian WorkCover Authority (VWA).
Send your completed application to the WorkCover Agent of your
choice from the list on page 3 of this form.
Copies of this document are available from our website at
vwa.vic.gov.au/insurance where it can also be completed online.

Page 5 of 9
 FOR FURTHER INFORMATION
If you need further help completing the form, or require advice, you Buy-out
can telephone the VWA Advisory Service on 1800 136 089 or ring the Under the Workplace Injury Rehabilitation and Compensation Act 2013
WorkCover Agent you have selected to administer your WorkCover you must pay an excess on any claim – the first 10 days of
Insurance and claims. compensation and an amount towards medical and related costs. Once
For more information about health and safety you can also visit your the excess has been paid, any additional payments are met by the
local VWA office, or our website at vwa.vic.gov.au. WorkCover Insurance scheme.

Other information is available on our website, including: Employers have the option of eliminating the excess so that the entire
claim is paid by WorkCover. They can buy-out the excess by paying a
• Who is an employer
loading on their premium.
• If you are self-employed
• If you hire contractors Financial Year
• If you hire apprentices Our financial year operates from 1 July to 30 June.
• If you hire work experience students.
Industry rate
This material can be found by accessing the WorkCover Insurance
The claims experience of each industry is assessed by looking at the
section on our homepage at vwa.vic.gov.au/insurance.
claims costs compared to remuneration over a period. We compare
If you must register for WorkCover Insurance, a cover note can be the performance of each industry and set the appropriate industry
arranged by contacting a WorkCover Agent. A cover note provides premium rates. If your business operates in an industry which has
coverage subject to the completion and lodgement of this form with significant injuries, and therefore high claims costs, the industry rate
your selected Agent within 30 days. If you have obtained a cover note will be higher than an industry which has lower costs.
please record the number in the space provided. A list of WorkCover
Agents can be found on our website at vwa.vic.gov.au/agents. Interest(s)
For the purpose of the questions in this document, where a person,
Cover note number employer, business or entity has an ‘interest’ or ‘interests’ it means
that they have or hold a degree of control, or ownership (whether or not
the interest(s) are direct or indirect).
Cover note registration date
Predominant activity
IMPORTANT DISCLAIMER Your predominant activity is the activity that contributes most to the
value of goods and/or services produced or provided by you at that
The information provided in this publication is designed to address the workplace.
most commonly raised issues in relation to registering for WorkCover
Insurance in Victoria. The process of registering for WorkCover Premiums Order
Insurance in Victoria is governed by the Workplace Injury Rehabilitation This document is Gazetted each year to provide the mechanism for
and Compensation Act 2013 and the relevant Premiums Order/s. This the calculation of employers’ WorkCover Premiums. The Premiums
publication is not intended to replace this legislation. Order is made under the applicable Victorian workers’ compensation
The VWA has made every effort to ensure that the information legislation.
provided in this document is accurate. If something in this document is
Remuneration
misleading and you make a mistake as a result, we will not charge you
a penalty (including late payment) on any underpaid premium, although For WorkCover insurance purposes, remuneration includes wages
you will be required to pay any underpaid premium. and salaries paid to your employees, payments to some contractors,
allowances and benefits which attract fringe benefits tax (such as
motor vehicles) and contributions to a superannuation fund, provident
DEFINITIONS AND TERMS or retirement fund.
For more information go to our website at vwa.vic.gov.au/insurance. In some cases, remuneration that is paid by an employer to apprentices
or trainees is exempt from premium calculations.
‘you’
Your total annual remuneration is used to calculate your premium.
means the registrant
For more information about contractors, remuneration and fringe
‘your’ benefits, please refer to vwa.vic.gov.au/insurance.
indicates something belonging to the registrant
Workplace
‘your business’ A workplace is an area of land occupied by you where your workers
means the business which is the subject of this registration work or pass through in the course of their employment.

Associate WorkCover Agent

The definition of associate, considers connections (including relatives) In Victoria, WorkCover Agents issue and administer WorkCover
to individuals, companies, trustees and partnerships. A full definition of Insurance on behalf of the VWA. They also manage the collection of
associate is available in the relevant Premiums Order. premiums, inform employers of their responsibilities and administer
most claims processes.

WorkCover Industry Classification (WIC)

Every Victorian workplace registered with the VWA is classified into an
industry group. This is done by your WorkCover Agent and is based on
the predominant activity of the employer at the workplace. A complete
list of WorkCover Industry Classifications (WICs) can be found in the
most recent Premiums Order.

Page 6 of 9
 Company
EMPLOYER DETAILS
A company is a body corporate which is registered under the
Corporations Act. A company may be:

1. WORKCOVER AGENTS • A private company (generally indicated by ‘Proprietary Limited’

or ‘Pty Ltd’ in the name of the company) where the shares in the
company are privately held; or
Your WorkCover Insurance will be managed by an Agent of the VWA.
• A public company (generally indicated by Limited’ or ‘Ltd in the
You can choose one of the Agents listed on the website:
name of the company) where the public may purchase shares in the
vwa.vic.gov.au/agents.
company.
Your WorkCover Agent will collect your premium, manage claims for
A company exists in law independently of its shareholders. All
any of your injured workers and offer you a range of other services.
companies have an Australian Company Number (ACN).
Your WorkCover Agent should:
• give you advice on how to keep your workplace safe and prevent Trustee
injuries
• explain your rights and responsibilities, and those of your workers, A trust is not a separate legal entity and cannot be an employer. Each
under Victorian workers’ compensation laws trust has a trustee or trustees responsible for administering the trust.
• help you with any questions you may have about your insurance, A trustee may employ persons to assist in the administration of the
premium or claims trust. In such circumstances, the trustee is the relevant employer.
• inform you about any changes to your insurance registration or Other
premium and why the changes were made
• help you develop an occupational rehabilitation program and return This includes not for profit organisations such as cooperatives,
to work plans for your injured workers incorporated associates, local government entities and statutory
• help you get injured workers back to work as soon as possible by corporations. Please describe the nature of the organisation fully in the
offering occupational rehabilitation advice in consultation with the area provided.
worker’s treating doctor
• help you organise reasonable retraining for any injured workers.
4. ABN AND ACN

2. LEGAL NAME OF EMPLOYER The Australian Business Number (ABN) is issued by the ATO. If you have
one, we will include your ABN on your tax invoice.
To accurately identify all employers WorkCover requires the full legal
name(s) of the entity employing. This name is usually the name that The Australian Company Number (ACN) is issued by the ASIC. Include
appears on all official documents or legal papers. The legal name may your ACN if your business is a company or a trustee which is a
be different to the name you trade under. company.

Employer type Example of employer name 5. GST STATUS

Sole trader John Greg Smith
Contact the ATO to find out if you should register for the GST.
Partnership Jack Howard Brown and Peter Jones
Company Example Pty Ltd, Example 100 Ltd 6. COMPANY DIRECTORS OR BUSINESS OWNERS
Trustee James Thomas Smith as trustee for the
Smith Family Trust WorkCover requires the full names of all directors or business owners
to assist in applying premium rules.

If an employer is the Trustee of a trust, the name of the trustee

should appear as part of the employer name. BUSINESS DETAILS
(A trust itself cannot employ and is not an employer. A trustee may
Your answers to questions 8-20 are designed to collect information
employ workers on behalf of the trust and it is the trustee name that is
which may be relevant to the calculation of your premium.
to be shown as the legal name of the employer. A trustee may be a sole
proprietor, partnership or company.) Failure to provide full and true disclosure to WorkCover in respect of
matters relevant to the calculation of premium may result in a default
penalty of up to 120% of under paid premium.
3. TYPE OF ENTITY
An employer usually sets up a business using one of the structures 8. REASON FOR REGISTRATION
listed below.
Understanding the reason for the registration will assist agent
Sole Proprietor
processing.
A sole proprietor is an individual who owns a business in their own
name and is personally liable for its debts.
Partnership
A partnership exists where persons or corporations carry on a
business in common with a view to profit. A partnership may exist
between individuals, between corporations or between individuals and
corporations.

Page 7 of 9
 9. EMPLOYMENT COMMENCEMENT DATE 23. PHYSICAL LOCATION OF WORKPLACE
Under Victorian legislation you are required to be registered for This should include the street name and number, the level or building
WorkCover Insurance with effect from the earliest date during a complex name and shop number (if applicable).
financial year (year ending 30 June) in which you employed either:
Example: Charliestone Shopping Centre
• a worker or a deemed worker (including a business owner being Level 2, Shop 23
employed by their own company) and could reasonably foresee a 1313 Northvale Rd
total remuneration liability of more than $7,500 for the financial Northvale 3333
year; or
A workplace location cannot be a P0 Box.
• an apprentice or trainee, no matter how much they are paid.
If you hire any apprentices or trainees – even if you only hire
24. WORKPLACE COMMENCEMENT DATE
one – you must be registered for WorkCover Insurance regardless of the
level of remuneration you pay. This is the earliest date that your worker(s) commenced operation at
this workplace or began to be managed from this workplace.

10. INSURANCE EXCESS AND BUY-OUT OPTION

YOUR ACTIVITY AND REVENUE/COSTS
An insurance excess applies to a work-related injury claim. If a worker
makes a claim and your WorkCover Agent accepts it, you must pay an Your activity is used to determine your industry classification which is
excess. used to calculate your insurance premium, so it is important that we
The excess consists of: obtain a good understanding of your business.

• the first 10 days of weekly benefits and Question 25 asks you to consider all of the activities at your workplace
and nominate your predominant activity. Please forward copies of any
• an amount towards medical and like services (indexed brochures or explanatory material that will assist us in determining your
annually). main activity.
The VWA pays for a claim once it exceeds your excess by Questions 26 to 31 ask for more information about your workplace to
reimbursing you through your WorkCover Agent. enable your Agent to determine the predominant activity and assign the
You can remove the excess by taking up the buy-out option when you most appropriate industry classification to your workplace.
first register or, in following years, at the start of each financial year.
The cost of the buy out option is an additional 10% of your annual
premium. 25. PREDOMINANT ACTIVITY - EXAMPLES
For further information about the insurance excess and buy-out Type of business Predominant activity
option, please refer to the employers section on our website at
Flower shop Retail sales of flowers
vwa.vic.gov.au/insurance.
Builder Construction of minor renovations; pergolas, garages, etc
Accountant Preparation of tax returns
WORKPLACE DETAILS
Metal fabricator Making wrought iron fences and gates

21. NUMBER OF WORKPLACES

You must complete the ‘Workplace details’ section (i.e. pages 3 and 26. KEY GOODS OR SERVICES - EXAMPLES
4) for each of your workplaces. If you have more than one workplace,
please make additional copies as required. Type of business Predominant activity
Flower shop Sale of fresh cut flowers, bouquets, gift baskets,
• A workplace is an area of land occupied by you where your workers
wreaths and plants
work or pass through in the course of their employment.
Builder Preparation of plans, building structures, etc
• If you have workers that work at sites which are not occupied or
controlled by you (eg premises you have been contracted to clean), Accountant Taxation advice
your workplace is the place from which your workforce is controlled Metal fabricator Design and fabrication of wrought iron fences and gates
(eg your office).
Further information about the definition of a workplace is available in
the Premiums Order, or alternatively, you can contact your WorkCover
Agent.

22. BUSINESS OR TRADING NAME

A business or trading name is the name that you trade under or the
name by which your suppliers or customers know you. It may be
different from your legal name.

Page 8 of 9
 27. KEY TYPES OF RAW MATERIALS, TYPES OF
EQUIPMENT, OR PROCESSES - EXAMPLES
Type of Business Raw Materials Equipment Processes
Flower shop Flowers, plants, ribbons,paper,pots Scissors, delivery van Flower arranging, making wreaths and gift baskets
Builder Timber, plasterboard, concrete, roofing sheets Various hand tools, power tools, ladders, ute Cutting and fixing timber, concreting
Accountant Computer, tax law books Data entry, analysis
Metal fabricator Metal Welder, grinder, anvil, press Welding, pressing, grinding

31. REVENUE AND COSTS FOR THE NEXT

TWELVE MONTHS - EXAMPLES
Type of Business Product / service Sales / revenue Cost of goods sold or services provided - Cost of labour -
the gross amount you the cost of raw materials (if any), the cost all costs relating to your workforce
receive from selling your of equipment used in your business, energy including salary/wages, training
goods or services costs, etc. costs, superannuation, benefits, etc
Flower shop Flowers/bouquets $90,000 $35,000 $35,000
Plants $16,000 $3,000 $1,500
Gift baskets, wreaths $10,000 $3,000 $2,000
Builder Pergolas $100,000 $25,000 $25,000
Garages $50,000 $20,000 $10,000
Additions and alterations $250,000 $100,000 $50,000
Accountant Personal tax returns $300,000 $25,000 $150,000
Business tax advice $500,000 $25,000 $225,000
Metal Fabricator Fences $60,000 $15,000 $30,000
Gates $80,000 $20,000 $35,000

Contractors and remuneration

32. ESTIMATE OF RATEABLE REMUNERATION
The term contractor covers a wide variety of people in different work
Penalties may apply if you underestimate remuneration circumstances. A contractor could be a consultant, agent, tradesperson
or professional person, or a company providing the services of a
Include in your estimate: person. Contractors may operate as sole proprietors, or through
• Salaries, wages partnerships, companies or family trusts.
• Superannuation, allowances If you hire any person to perform work on a contract, this person
• Directors’ fees may be considered to be your worker under some contracts.
Some payments to contractors may be counted as rateable
• Fringe benefits (including the grossed-up value as defined in the
remuneration. This means that you may need to include some or all
“Fringe Benefits” section at vwa.vic.gov.au/insurance)
of the money you pay this person in your estimate and certification of
• Payments made to contractors deemed to be your workers rateable remuneration.
Do not include remuneration for exempt apprentices and/or exempt Contractor remuneration can be difficult to define. For more
trainees information, contact your WorkCover Agent. Guidelines for contractors
are also available on our website at vwa.vic.gov.au/insurance.
Some apprentice remuneration is exempt for WorkCover Insurance
premium purposes (apprentice includes trainee remuneration in this Restrictions and qualifications apply – refer to the employers section
context). It is subject to the training being an approved training scheme on our website or contact your WorkCover Agent.
and to certain qualifications and restrictions. (These schemes are
Changes to remuneration
approved by the Victorian Department of Education.)
If you become aware that your actual remuneration will exceed, or
Remuneration paid to an apprentice or trainee is exempt if, during the
is likely to exceed, your latest estimate by more that 20%, you are
two years before the start of the training agreement the apprentice has
required to tell your WorkCover Agent of your revised estimate within
not been employed for more than three months full time, or a total of
28 days.
12 months part time, by:
You can advise your WorkCover Agent of other changes to your
• the employer, or another employer of the same group,
estimate of remuneration at any time during the financial year.
• a former employer*, or
More information about remuneration is available from our website
• any combination of the above. under Publications. Alternatively you can contact your selected
WorkCover Agent.
If apprentices meet these conditions before being engaged under a
training agreement, they may be employed under successive training
agreements with current and former employers as long as the time
between any two agreements is less than three months.
* Note: There are strict definitions for what constitutes a former
employer. For more information refer to our website or contact your
WorkCover Agent.

FOR554/09/01.14 Page 9 of 9