Requesting a review of a decision
You may be able to apply for an internal review of a decision if you are dissatisfied with the decision.
How to request a review
- Check if you have been given, or are entitled to be given, an information notice about a decision under Chapter 2, Division 2 (Coal Mine Workers' Health Scheme) of the Coal Mining Safety and Health Regulation 2017.
- Complete the application for internal review of decision form below and provide any supporting documents.
- Email the form and any supporting information to email@example.com.
Application for internal review of decision
- Form CMSHR 5 – Application for internal review of decision (PDF, 867KB) (published 10 August 2020).
This form was approved by the Chief Inspector of Coal Mines on 26 February 2019.