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
• 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
  Worker’s Report of Injury/Disease (Form 6)
   and upload it.
• If you're under 16 years old, your parent or guardian must sign the
  Worker’s Report of Injury/Disease (Form 6)
  before you upload it. 
• For help filling out your report, check out our reference guide

Report a work-related, noise-induced hearing loss claim

Report an exposure incident

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. 

You can also fill out a Direct deposit request form (PDF 3072A) and fax or mail it to us.

• 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 (PDF 2232A)
• Functional abilities form for early and safe return to work
  (2647A)
  • Guide to Completing the Functional Abilities Form (PDF)

Submit expenses

• Medication reimbursement (PDF 0806A)
• Health care travel expense
  (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

• Intent to object
  (2397A)
  •  
    Instructions for the Intent to object form

Authorize a third-party representative

• Authorization for claim-related information for legal representative
  (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)