Government agency · WorkCover WA · Western Australia

Common Law Settlement Agreement - Memorandum

Common Law Settlement Agreement - Memorandum

Word (DOCX)
Government agency formWorkers Compensation and Injury Management Act 2023
v9daeb2ad Updated 6 July 2026
Preview of the first page of Common Law Settlement Agreement - Memorandum
Preview - first page of the form

How to lodge - Online portal

  1. 1

    Assemble the form

    Pull the latest Common Law Settlement Agreement - Memorandum into your practice management system. Your matter details (property address, lot and plan, parties, and your firm details) populate the form automatically, on your own machine.

  2. 2

    Review and check

    Confirm the populated fields are correct and complete any office-use or matter-specific fields the catalogue does not fill.

  3. 3

    Upload to the council portal

    Open WorkCover WA's online lodgement portal at https://www.workcover.wa.gov.au/ and upload the completed form.

Lodgement notesWorkCover WA does not label this form 'CL3'; it is published without a form number as an approved form on the Legislative Framework: Approved Instruments, Forms and Notices page (Word only). The site title separates 'Common Law Settlement Agreement' and 'Memorandum' with an en dash; normalised to a hyphen here.

This form maps to the published matter-field vocabulary, so your practice management system fills it from your matter data - on your own machine. Practice management systems can fetch and assemble it through the document assembly API.

View the official form on the WorkCover WA website