---
title: Self-Employed Persons Claim for Lost Wages
date: 2025-09-12T13:44:00+10:00
author: "webmaster@walkerdesigns.com.au"
canonical_url: "https://maib.tas.gov.au/resources/-2"
section: Resources
---
#  Self-Employed Persons Claim for Lost Wagespdf 

 Posted 12 September 2025

 

 

Complete this form if you are self-employed and wish to claim the MAIB Self-Employed Persons Replacement Allowance.

 

 [Download ](https://maib.tas.gov.au/volumes/documents/Forms/Form-F.pdf) 

 

 

 

  [All Resources](https://maib.tas.gov.au/resources)