Forms: Injured or ill people

Submit a claim document

Find the form you need, fill it in using your desktop or laptop computer, save it and submit it online.

Categories:

• Report an injury, illness or exposure
• Noise-induced hearing loss
• Set up direct deposit
• Update us on your recovery and return to work
• Submit expenses
• Object to a decision
• Authorize a third-party representative
• Request your claim file

Report an injury or illness

Log in or sign up for our secure online services to report an injury or illness. Using our online services, you can see your claim status, add your direct deposit details and check your benefits and services information. You can also book a WSIB pre-approved taxi to and from your appointments, submit documents straight to your file and send us messages, all in one convenient place.

Report an exposure incident

You can sign up for a secure online services account to report your exposure incident.

Noise-induced hearing loss

You can report your work-related, noise-induced hearing loss claim through our secure online services.

Set up direct deposit

You can sign up for direct deposit through our online services to get your benefit payments sent right into your account.

Please note: Do not submit the form online.

Learn more about how to sign up for direct deposit.

Update us on your recovery and return to work

• Worker's Progress report
  (0041A)
• Continuity report
  (2232A)
• Functional abilities form for early and safe return to work
  (2647A)
• Guide to Completing the Functional Abilities Form

Submit expenses

• Medication reimbursement
  (0806A)
• Health care travel expense
  (2721A)
• Work transition travel and related expenses application
• General expense
  (3164A)
• Clothing allowance application
• Vision care claim
  (3585A)

Object to a decision

• Intent to object form
  (2397A)
  • Worker instruction sheet: Intent to object form
    (2394A)

Authorize a third-party representative

• authorization for claim-related information for legal representative (Direction of authorization)
  (1824A). This is not a request for access or an appeals form.
• Power of attorney for property/guardianship of property
  (3074A)

Request your claim file

• worker request for copy of claim file
  (2144A)