Common Law Settlement Agreement - Memorandum
DraftThis template has not been through our editorial review yet. Check it against WorkCover WA's current form before you rely on it.
- Format
- Word (DOCX)
- Category
- Government agency form
- Version
- v053baa82
- Last updated
- 1 September 2026
Workers Compensation and Injury Management Act 2023
How to lodge - Online portal
- 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
Review and check
Confirm the populated fields are correct and complete any office-use or matter-specific fields the catalogue does not fill.
- 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.