Jeffery

About me:

Candidate Info :
Jeffery 57 years old skilled driver 30years hard worker always on time go the extra mile

Experience :
Worked at workcoverqld.com.au from October 2012
p: 07 3006 6761 f: 1300 651 387 e: Page 10 of 12 NOA-2013
ABN 40 577 162 756 S16VQ413565

Terms used in the Notice of Assessment

Step 1: you need to decide whether you agree or disagree with this assessment. If you agree with this assessment
you can go straight to step 3. If you disagree

with this assessment you need to go to step 2.

Step 2: If you disagree with this assessment you have two
options:

1. You can ask to be assessed by another expert. If we
agree, we will arrange this as soon as possible. If we do
not agree, we will refer you to the Medical Assessment
Tribunal (the MAT), or

2. You can ask to be assessed by the MAT. The MAT is a panel of independent specialists who assess your degree
of permanent impairment. The MAT is administered by the Workers’ Compensation Regulator. The MAT’s decision is
final and cannot be appealed. Once you have made this
decision you should complete and return the decision about permanent impairment form.

Step 3: If you agree with the assessment you need to make a decision about the offer.

When making your decision about the offer you need to consider whether you wish to claim damages against your
employer in relation to your injury.

If your DPI is less than 20% you have two options: either to accept the lump sum offer or to pursue damages against
your employer.

If your DPI is greater than 20% you can accept the lump
sum offer and also seek damages against your employer.

Once you have made this decision you should complete and return the decision about offer form.

Your responses are required within 20 business days of receipt of your Notice of Assessment. The Act states that
your decision about the offer is “irrevocable”. This means
that if you accept or reject the offer you cannot change
your decision later.

If you do not respond within this timeframe you are
considered to have agreed with the degree of permanent
impairment and deferred the offer.

Advice about your decision

This is an important decision. If you need help making a decision about this Notice of Assessment, we recommend
you obtain independent advice. We cannot give you advice about your decision.

More information about this offer

You can contact WorkCover on 1300 362 128 for more
information about your claim. Our customer service
representatives can put you through to the person
managing your claim. We also produce a range of information about the claims process. You can find this on
FS910

Terms used in the Notice of Assessment

Important information
This fact sheet contains information about the terms used
in a Notice of Assessment and the decisions you need to make.

You may find that not all the information provided in this
fact sheet applies to your situation. Please contact us on
1300 362 128 if you’d like more information about this
Notice of Assessment and lump sum offer.

Permanent impairment

Permanent impairment is the impairment from your injury which results in loss of efficient use of that part of your
body. The impairment is considered permanent if it is
stable and stationary – this means that further medical
treatment will not improve the impairment.

Degree of permanent impairment

Your degree of permanent impairment (DPI) has either
been assessed by an experienced medical practitioner or
the Medical Assessment Tribunal (MAT). It is the impairment from your work related injury and does not
include any impairment that is not work related.

Assessing permanent impairment if there is more than
one injury

Under the Guide for Evaluation of Permanent Impairment
(GEPI), impairments from multiple injuries from the same
event must be assessed together to calculate one total
DPI.

Where there are injuries to different body systems, a percentage of impairment is determined for each assessed
body system. These percentages are then combined using the AMA5 Combined Values Chart to determine the total
DPI.

The total DPI is not calculated by simply adding up each
percentage of impairment. Also, Physical and psychological or psychiatric injury DPIs cannot be
combined.

Additional lump sum compensation for serious injuries

If your physical injury has a DPI of 30% or more, you are
entitled to additional lump sum compensation. This amount
is in addition to the amount offered in your notice of assessment.

Additional lump sum compensation for gratuitous care

Under the Act, you are entitled to additional lump sum
compensation for gratuitous care if:

• you have a DPI of 15% or more from your physical injury

• you have a moderate to total level of dependency as assessed by an occupational therapist.

What do I need to do now?

© WorkCover Queensland
© WorkCover Queensland Revised 11 February 2014

our website at worksafe.qld.gov.au or you can call 1300
362 128.

© WorkCover Queensland
Revised 11 February 2014 FS910

Worked As Worker at NOA
who is required to make election to seek damages

(1) This section applies if a worker’s notice of assessment states that the worker’s DPI is less
than 20%.

(2) If, in the notice of assessment, the worker is offered a payment of lump sum compensation
under chapter 3, part 10, division 3 for the injury, the worker is not entitled to both–

(a) payment of lump sum compensation for the injury; and

(b) damages for the injury.

(3) If, in the notice of assessment, the worker is required to make an election to seek damages for the injury, the worker can not change the worker’s election–

(a) if the worker has elected to seek damages for the injury–after notice of the election is given
to the insurer; or

(b) if the worker is taken, under section 189(7), to have elected to seek damages for the injury–after the worker lodges a notice of claim.

240 Consequences, to costs, of seeking damages

(1) If the claimant is a worker who does not have a terminal condition and the claimant’s notice of assessment states that the claimant’s DPI is 20% or more, part 12, division 1 applies

in relation to costs in the claimant’s proceeding for damages.

(2) If the claimant is a worker who does not have a terminal condition and the claimant’s notice of assessment states that the claimant’s DPI is less than 20%, part 12, division 2 applies in relation
to costs in the claimant’s proceeding for damages.

(3) If the claimant is a worker who has a terminal condition, part 12, division 1 applies in relation
to costs in the claimant’s proceeding for damages.

(4) If the claimant is a dependant, part 12, division 1 applies in relation to costs in the claimant’s
proceeding for damages.

316 Principles about orders as to costs

(1) No order about costs, other than an order allowed under this section, is to be made by the court in the claimant’s proceeding.

(2) If a claimant or an insurer makes a written final offer of settlement that is refused, the court
must, in the following circumstances, make the order about costs provided for–

(a) if the court later awards an amount of damages to the worker that is equal to or more than the worker’s written final offer–an order that the insurer pay the worker’s costs on the standard basis
from the day of the written final offer;

(b) if the court later dismisses the worker’s claim, makes no award of damages or awards an
amount of damages that is equal to or less than the insurer’s written final offer–an order that the worker pay the insurer’s costs on the standard basis from the day of the final offer.

(3) If an award of damages is less than the claimant’s written final offer but more than the insurer’s written final offer, each party bears the party’s own costs.

Worked As HR Driver Rolls at bsa transport from February 2018 to September 2019
Delivery pick-up crane work