SIRA (CTP & Workcover) Referral Form Have a question? Call us on 1300 001 778 Submit your Referral Documents "*" indicates required fields Client's Name* First Name Last Name Client's Contact Number*Insurer Name Case Manager Name* First Name Last Name Case Manager's Contact Number*Case Manager's Email Address* Claim Number* Upload Approval Letter (from insurance company)* Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 5 MB, Max. files: 5. CommentsThis field is for validation purposes and should be left unchanged.
