Forms and resources

You can read more about NIISQ’s application process here.

If you can’t find what you are looking for, or would like some help in completing one of our forms, please contact your Support Planner.

Are your contact details up to date?

To ensure we can always reach you with the latest NIISQ information, please let your Support Planner know if your contact details or the contact details of your support network change. If you have recently updated your contact details with us, thank you, we don’t need you to provide this information to us again.

Personal information

• Consent to exchange personal information

  While you are dealing with the NIISQ Agency, we may need to ask others for your personal information. This could include reports, clinical notes, medical reports, imaging, results, medical and other information about you. If you are a NIISQ participant, this information helps us to provide you with treatment, care and support services.

  By signing this form, you are providing your consent for other parties to give us your personal information.

  Consent to exchange personal information (PDF)

• Preservation notice

  Refer to CTP frequently asked questions for further information about giving a preservation notice.

  Preservation Notice

Financial

• Bank Details Form

  You may need to supply your bank details to NIISQ. This is the form you will need to use.

  Bank Details Form – Participants or Individuals

• Reimbursement (refund) of treatment, care and support and/or transport expenses

  The below forms help you request a refund/reimbursement of approved treatment, care and support and/or transport expenses. For these expenses to be reimbursed, you must seek approval from your Support Planner prior to purchasing the service or taking the journey. Expenses incurred without prior approval may not be reimbursed.

  Click here for more information.

  Reimbursement forms:

  Application for reimbursement of approved treatment, care and support expenses (PDF)

  Application for reimbursement of approved transport expenses (PDF)

  Application for reimbursement of approved treatment, care and support and transport expenses_combined form (PDF)

• Statutory declaration (if you have lost your receipt)

  If you have lost your receipt and wish to claim a reimbursement, a statutory declaration is required by the NIISQ Agency. The statutory declaration forms are located on the courts.qld.gov.au website at:

  Statutory Declaration (Fillable PDF form)

  Statutory Declaration (Word document)

Requests for review of agency decisions

• Internal review

  The below form is for requesting a review of a decision made by the NIISQ Agency.

  National Injury Insurance Scheme (QLD) Internal Review Application Form (PDF)

  You can find out more information here or refer to our information sheets:

  • Review of eligibility decisions
  • Review of decisions treatment, care and support

• External review

  If you are not satisfied with the outcome of an internal review, you can make a request within 28 days of the decision for NIISQ to refer your matter to an external review tribunal.

  • The Medical Assessment Tribunal (MAT) can review decisions that are medical in nature, such as whether an injury meets the medical requirements in the NIISQ eligibility criteria;
  • The Queensland Civil and Administrative Tribunal (QCAT) can review decisions that are non-medical in nature, such as whether the circumstances of an accident meet the legal definition of a ‘motor vehicle accident’.

  More information about external review can be found in Chapter 6, Part 2 of the National Injury Insurance Scheme (Queensland) Act 2016.

Guidelines

The following guidelines help participants and service providers understand how decisions are made by the NIISQ Agency. If you need more information, please talk to your Support Planner.

• Guideline for non-established, new or emerging treatment, care and support

  Service requests for non-established, new or emerging treatments and services

  GUIDELINE-Non-established, new or emerging treatment care and support (PDF)

• Guideline for necessary and reasonable considerations

  Necessary and reasonable decision making

  GUIDELINE-necessary-and-reasonable-decision-making (PDF)

• Guideline for payment of travel expenses

  Payment of travel expenses

  GUIDELINE-payment-of-travel-expenses (PDF)

• Guideline for modifications to a motor vehicle

  Modifications to a motor vehicle

  GUIDELINE-modifications-to-a-motor-vehicle (PDF)

• Guideline for participant support when away from home

  Participant support when away from home

  GUIDELINE-Participant-support-when-away-from-home (PDF)

The information provided in these guidelines is for general information purposes, subject to change and does not constitute legal advice or recommendations. It should not be relied upon as constituting legal advice or a recommendation or as applicable to specific circumstances. Please refer to the National Injury Insurance Scheme (Queensland) Act 2016 and Regulation 2016 for more details about NIISQ.

Help for communicating in a hospital or healthcare setting

Read about Julian’s Key, a patient/carer-controlled tool designed to improve communication and empower people with disability, their families and carers to be more involved in their healthcare.

In an emergency always call 000. If you have additional health-related questions, you can also contact your GP.