Hotel Employers Mutual Club Employers Mutual

COVID-19 Related Claim Notification

If the claim is not for COVID-19 please submit via Notify us of an injury - Hotel Employers Mutual or Notify us of an injury - Club Employers Mutual
If you have any concerns or issues completing this form please contact Hospitality Employers Mutual on 02 8251 9069

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Employer's Details
Notifier's Details
Injury Details
If applicable
Accept file types .pdf, .doc, .docx, .jpg, .jpeg, .png, .bmp, .tif, .tiff, .msg
Worker Details
If applicable
Either mobile or email is required.
Either mobile or email is required.
Accept file types .pdf, .doc, .docx, .jpg, .jpeg, .png, .bmp, .tif, .tiff, .msg
After Notification details page you will be redirected to the Initial contacts.
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