Forms: Injured or ill people

Upload a claim document

Find the form you need, fill it in, save it and upload it. Make sure you select the right form name or ID when you upload. Learn more or upload now

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Report an injury/illness/exposure

Set up direct deposit

Direct deposit enrollment (PDF 3072A)

  • Please note: Please email us the direct deposit form at only. Do not upload the form online. 

Update us on your recovery and return to work

Submit expenses

Object to a decision

Authorize a third-party representative

Request your claim file