Upload a claim document
Find the form you need, fill it in, save it and submit it online.
- Report an injury, illness or exposure
- 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
Reporting an injury, illness or exposure incident? Submit online.
- You can also fill out and save a report of injury/disease (PDF) and upload it.
- If you're under 16 years old, your parent or guardian must sign the report of injury/disease (PDF) before you upload it.
- For help filling out your report, check out our reference guide (PDF)
Report an exposure incident
Set up direct deposit
Direct deposit enrollment (PDF 3072A)
- Please note: Please email us the direct deposit form at email@example.com only. Do not upload the form online.
Update us on your recovery and return to work
- Progress report (PDF 0041A)
- Continuity report (PDF 2232A)
- Functional abilities form for early and safe return to work (PDF 2647A)
- Medication reimbursement (PDF 0806A)
- Health care travel expense (PDF 2721A)
- Health care travel expense - Occupational disease and specialized services (PDF 2719A)
- Work transition travel expense application
- General expense (PDF 3164A)
- Clothing allowance application
- Vision care claim (PDF 3585A)
Object to a decision
Authorize a third-party representative
- Direction of authorization (PDF 1824A) This is not a request for access or an appeals form.
- Power of attorney for property/guardianship of property(PDF 3074A)
Request your claim file
- Request for copy of claim file (PDF 2144A)