RTBU App
Complete the form then select Submit.
Union rep name
*
Union rep email
*
Member's name
*
Phone no. of member or next of kin
*
Nature of enquiry
*
Nature of enquiry
Injured at work
Injured in a road accident
Exposed to asbestos
Need to make a super claim
Injured by medical treatment
Injured in a public place
Wills – request a free will kit
Will dispute
Other
Employer/Worksite
*
Please specify nature of enquiry
*
Will kit shipping address
*
Shipping address 2 (Hidden)
Suburb
*
Postcode
*
State
*
Select...
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Number of will kits
*
Other Information
*
Nearest office
*
Nearest office
Brisbane
Browns Plains
Bundaberg
Cairns
Caboolture
Gold Coast
Ipswich
Mackay
Rockhampton
Strathpine
Sunshine Coast
Toowoomba
Townsville
Date and time of incident
Best time to call
Best time to call
Morning
Afternoon
Evening
Have you advised the member of this referral to Maurice Blackburn and do you reasonably believe the member will not object to being contacted?
*
Yes
No