Forms: Business

1208WA (PDF)

1209WA (PDF)

Partner or Executive Officer in Construction - Exemption from Coverage

Request for Rate Group 755, Non-Exempt Partners and Executive Officers in Construction

0007A


 

Report online

Form 7 Reference Guide (PDF)

Employer's Report of Injury/Disease Form 7

For a faster, more efficient experience, complete and submit your Report of Injury online or call us at 1-800-387-0750 or 416-344-1000 (TTY: 1-800-387-0050) Monday to Friday, 7:30 a.m. to 5 p.m.
 

NOTE: Schedule 2 businesses should continue to use Classification Unit (CU) and Rate Group (RG) information when submitting a Form 7 or eForm 7 to report a workplace injury or illness. Please use the following: CU 0000-999 (entered into ‘NAICS Code’ field on the form) and RG 999 (entered into ‘Class/Subclass’ field on the form).
 

If you have any questions regarding submitting a Form 7 or eForm 7, please contact us at 1-800-387-0750.

Submitting a No Lost Time claim?

Only complete sections A to D, E (#1) and J.

Learn about our eForm 7.

2399A (PDF)

Intent to Object form

Our Intent to Object form is available for employers who intend to file an objection to a worker claim, only.

Note: Please DO NOT use the Intent to Object form if you disagree with a decision relating to your employer account. You should instead contact Employer Account Services at 416-344-1000 or 1-800-387-0750 for information on the objection process for employer account decisions.

Read our instructions for employers (PDF) on how to fill out the Intent to Object form.

Functional Abilities Form for Early and Safe Return to Work 

Note: new fee for FAF effective Sept. 10, 2012.

Guide to Completing the Functional Abilities Form (PDF)

Physical Demands Information Form: contains forms 2828A, 2829A, 2830A, 2851A, and 2852A.

• Example of Section 2: Duties and Physical Demands (PDF)
• Example of Section 3: General Physical Demands and Section 4: Additional Considerations (PDF)

Employer by Application

Does your firm have voluntary by-application workplace safety and insurance coverage?

1208WA (PDF)

1209WA (PDF)

Partner or Executive Officer in Construction - Exemption from Coverage

Request for Rate Group 755, Non-Exempt Partners and Executive Officers in Construction

Direction of Authorization - Employer Accounts (Legal Representation)

This form allows an employer to authorize a third party representative, to provide legal representation to
• Appeal an employer account decision
• Represent the employer in relation to the employer's account (i.e. Sale of business, Bankruptcy, etc.) and/or
• Obtain access to confidential employer account-related information
This form is not acceptable for use for any purpose relating to individual claim files.

Firm File/Account Access Consent – Employer Accounts (Non-Legal Representation)

This form can be used for either employer firm file access or consent to share the employer’s account information with a third party who will not be a legal representative to the employer. 
If a third party representative wishes to provide legal representation including disputing an employer account decision made by the WSIB, the Direction of Authorization – Employer Accounts form must be completed.
This form is not acceptable for use for any purpose relating to individual claim files.

1824A (PDF)

Direction of Authorization

This is not a request for access or an appeals form. It is used solely to provide authorization for representation in a claim. Only after this authorization is obtained can a representative be given verbal or written information about the claim or make a request to be provided with copies of claim file documents.

Reconciliation Form and Reconciliation Guide