Forms: Business

Upload a claim document

Find the form you need, fill it in, save it and submit it online. 

 

Categories

• Claims
  • Report an injury, illness or exposure
  • Support your employee's recovery and return to work
  • Object to a claim decision
  • Re-open a claim
  • Accident cost statement
• Your account
  • Get WSIB coverage
  • Manage your premiums, rates and coverage
  • Pay your premiums
  • Determine your independent operator status
  • Verify coverage when buying or selling your business
  • Authorize a third-party representative
  • Object to a decision about your account
  • Email us
• Health and Safety - Training and information
• Recognize a small business
• Order print materials

Claims

Report an injury, illness or exposure

Log in to your online services account to report a workplace injury or illness.  

• You can also fill out,  save, and upload a report of injury/disease Form 7 (PDF 0007A)
  • If you have questions about reporting, read the form 7 reference guide (PDF)
  • If you are reporting a fatality, please call us at 1-800-387-0750, Monday to Friday from 7:30 a.m. to 5 p.m.
• Report a work-related, noise-induced hearing loss claim (PDF 0137A)
• Report on needlestick injury or body fluid splash (PDF 2819A)

Report an exposure incident 

Fill out and save an exposure incident report (all industries) (PDF 3959A) or an exposure incident report (construction only) (PDF 3886A) and upload it.

Support your employee's recovery and return to work

• Functional Abilities Form for Early and Safe Return to Work (PDF 2647A)
  • Guide to Completing the Functional Abilities Form (PDF)
• Physical Demands Information Form (PDF 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)
• Progress Report (PDF 0042A)
• The Subsequent Report is no longer available. Please use the Progress Report instead. 
• Treatment Memorandum (PDF 0156C)

Object to a decision about a claim

• Intent to object form
  (2399A)
  • Instructions for completing the form (PDF)

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)

Accident cost statement

• Accident cost statement code mapping

Your account

Get WSIB coverage

• Register online
• Employer by Application (PDF 0090A)
• Employer by Application Entertainment Industry (PDF 0095A)
• 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
  • Pre-January 1, 2020 with classification unit and rate group classification (PDF 1014A)
  • Post-January 1, 2020 with NAICS code and class/subclass classification (PDF 1014RA)

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
  (1158A)
• Retail Industry - Determining Worker/Independent Operator Status
  (1155A)
• Courier Industry - Determining Worker/Independent Operator Status Questionnaire
  (1157A)
• Logging Industry - Determining Worker/Independent Operator Status Questionnaire
  (1168A)
• Taxi Industry - Determining Worker / Independent Operator Status
  (1152A)
• Trucking Industry - Determining Worker/Independent Operator Status Questionnaire
  (1149A)

Verify coverage when buying or selling your business

• Purchase Certificate Worksheet (PDF 1238A)

Authorize a third-party representative

• Authorization for access to business account information (PDF 10371A)
• 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

• Health and Safety Excellence program

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)

Recognize a small business

• Small Business Health & Safety Leadership Award Nomination (PDF)

Order print materials

• Print material order form