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Categories
- Claims
- Your account
- Health and Safety - Training and information
- Recognize a small business
- Order print materials
Claims
Report an injury/illness/exposure
- Report online
- Report of Injury/Disease Form 7 (PDF 0007A)
- Form 7 Reference Guide (PDF)
- Exposure Incident Reporting Form – PEIR (PDF 3959A)
- Exposure Incident Reporting Form – CEIR (PDF 3886A)
- Report Occupational Noise Induced Hearing Loss (PDF 0137A)
- Report on Needlestick Injury or Body Fluid Splash (PDF 2819A)
Support your employee's recovery and return to work
- Functional Abilities Form for Early and Safe Return to Work (PDF 2647A)
- Physical Demands Information Form (PDF 2828A, 2829A, 2830A, 2851A, and 2852A)
- Progress Report (PDF 0042A)
- Subsequent Report (PDF 0009C)
- Please note: We are reviewing Form 9 for possible discontinuation in 2020. Please use the Progress Report (Form 42) instead.
- Treatment Memorandum (PDF 0156C)
Object to a decision about a claim
- Intent to object form (PDF 2399A)
Re-open a claim
- Continuity Report Post-1998 (Form WRE07) / Re-open Claim Earnings Post-1998 (Form WRE07E) (PDF 3233A and 3524A)
- Continuity Report Pre-1998 (Form RE07) / Re-open Claim Earnings Pre-1998 (Form RE07E) (PDF 2233A and 2235A)
Your account
Get WSIB coverage
- Register online
- Employer by Application (PDF 0090C)
- Employer by Application Entertainment Industry (PDF 0095C)
- Optional Insurance Request/Change for Schedule 1 Employers (PDF 1574A)
- Optional Insurance Consent Form under Schedule 2 (PDF 1034A)
- Application for exemption from coverage for a Partner and Executive Officer in construction (PDF 1208A)
- Application for reduced premium rate for non-exempt partner and executive officers in construction (PDF 1209A)
- Schedule Transfer Request (PDF 3193A)
Manage your premiums, rates and coverage
- Application for Alternative Assessment Procedure for Interjurisdictional Trucking (PDF 2642A)
- Completing Your Premium Remittance Form (PDF 0976A)
- Reconciliation Form – working copy (PDF 1014A)
Pay your premiums
- Prepayment Request Form (PDF 3602A)
- Letter of Credit Schedule 1 (PDF)
- Letter of Credit Schedule 2 (PDF)
Determine your independent operator status
- General - Determining Worker/Independent Operator Status Questionnaire (PDF 1158A)
- Retail Industry - Determining Worker/Independent Operator Status (PDF 1155A)
- Courier Industry - Determining Worker/Independent Operator Status Questionnaire (PDF 1157A)
- Logging Industry - Determining Worker/Independent Operator Status Questionnaire (PDF 1168A)
- Taxi Industry - Determining Worker / Independent Operator Status (PDF 1152A)
- Trucking Industry - Determining Worker/Independent Operator Status Questionnaire (PDF 1149A)
Verify coverage when buying or selling your business
- Purchase Certificate Worksheet (PDF 1238A)
Authorize a third-party representative
- Consent for non-legal representative to access account information (Consent form PDF 0793A)
- Authorization for account information for legal representative (Direction of authorization PDF 1797A)
- Authorization for claim-related information for legal representative (Direction of authorization PDF 1824A)
Object to a decision about your account
- Objecting to an employer account decision (PDF 3363A)
Email us
- Email consent form (PDF)
Health and safety
Training and information
- Building Your Health and Safety Program application form (PDF 2601A)
- Certification Training Reimbursement Request Form (PDF 0056A)
- Safety Groups Program Firm Application Form (0236A PDF)
- Safety Groups Action Plan (PDF 3168A)
- Safety Groups year-end maintenance report (PDF 3188)