Apply for or retrieve your third party ID code

Third Party ID Code Request Form

  • Please use this form to apply for or retrieve your third party ID code from Gallagher Bassett to include on your clients WorkSafe insurance applications.
  • If you are having difficulty completing this form or would like immediate assistance, contact our team on +61 3 9297 9108 during business hours.
  • The fields marked with an asterisk (*) below must be completed for this form to be submitted.
  • Please enter your contact number including area code.