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  5. Authority to pay entitlement: employer form

Authority to pay entitlement: employer form

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Summary:

Use this form to have your sick or annual leave reimbursed for time off work because of your accident injuries.

How to send documents to the TAC

myTAC

myTAC is the quickest way to:

  • Submit receipts and claim reimbursements
  • Send documents and forms
  • Update your personal and banking details
  • Find out about treatments and services the TAC may pay for

Email

If you can't use myTAC to send your receipts or documents, please take a photo and email it to us at info@tac.vic.gov.au. Include your claim number in the subject line of your email so we can process your request.

Sick or annual leave reimbursement form
( .pdf - 69.1 KB )
Sick or annual leave reimbursement form
( .dotx - 703.4 KB )