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WSIB Ontario
WSIB
WSIB Ontario
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WSIB Ontario WSIB Ontario
  • Sign up
    • Businesses
    • Injured or ill people
    • Health care providers
    • Representatives and others
  • Log in
    • Businesses
    • Injured or ill people
    • Health care providers
    • Representatives and others
  • Businesses
    • Registration and coverage
      • Registration and coverage
      • How to register your business
      • Information you need to register your business
      • Employer Classification Manual (ECM)
      • Independent operators
      • Registration FAQs
      • New businesses - what you need to know
      • Mandatory coverage in the construction industry
      • Meeting your responsibilities
    • Premiums and payment
      • Premiums and payment
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      • Understanding your rate
      • How to calculate your premium and insurable earnings
      • Premiums and payment FAQs
      • Reconciliation
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      • Schedule 2
      • Experience rating programs
    • Account maintenance
      • Managing your account
      • Account balance and statements
      • Ownership changes
      • Changes to your business
      • Business activity change
      • Buying or selling your business
      • Authorizing a business representative
      • How to communicate with the WSIB by email
      • Closing your account
    • Claims
      • Claims
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      • Fatality support
      • COVID-19 FAQs for business accounts
      • Occupational disease and workplace health hazards
      • Benefits provided to people with claims
      • Administrative Practice Documents
    • Return to work
      • Return to work
      • Return-to-work responsibilities
      • Getting help
      • Co-operating in the return-to-work process
      • Return to work and disability resources
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    • Appeals
      • Appeals
      • Objecting to a WSIB decision
      • Employer account operations decision
      • Review of claim file
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      • The oral hearing
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      • Your Guide: services and responsibilities – business edition
  • Injured or ill people
    • Claims
      • Report an injury or illness
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      • Making a claim for noise-induced hearing loss
      • Make a claim for work-related mental stress
      • Online services for your claim
      • Benefits
      • Occupational disease and survivors benefits program
      • Meeting your responsibilities
      • Administrative Practice Documents
    • Return to work
      • Return to work
      • Responsibilities for workers
      • Getting help with work reintegration for workers
      • Co-operating in the return-to-work process
      • Return to work and disability resources
      • Service providers
    • Appeals
      • Appeals
      • Objecting to a WSIB decision
      • Employer account operations decision
      • Review of claim file
      • Formal appeal
      • Representation
      • Appeal is registered
      • The oral hearing
      • Withdrawals
      • Appeals decision
      • Disagreeing with a decision of the ARO
    • Health and safety
      • Health and safety
      • First Aid Program
      • Check a business’s safety record
    • Forms: Injured or ill people
      • Forms: Injured or ill people
    • Resources for injured or ill people
      • Overview
      • Health care programs: Find a provider
      • Your Guide: Benefits, services and responsibilities – Claimant edition
    • Workplace fatality support
      • Report a workplace fatality or catastrophic accident
      • For families
      • FAIR partnership
  • Health care providers
    • Provider information
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      • Reporting requirements
      • Meeting your responsibilities
    • Provider fees
      • Provider fees
      • Health practitioner fees
      • Guidelines
    • Preferred suppliers
      • Preferred suppliers
      • Health care equipment and supplies
      • Information about hearing devices
    • Occupational disease
      • List of occupational diseases adjudicated by WSIB
      • Ontario regulation film services program
    • Programs
      • Health care programs
      • Community Mental Health Program
      • Programs of care
      • Interdisciplinary team program of care
      • Occupational health hub
      • Specialized recovery services
      • Drug benefit program
      • Serious injury program
    • Forms
      • Forms: Health care providers
    • Resources
      • Resources for health care providers
      • Health care practitioners & the WSIA
      • Physician learning modules

authorization for access to business account information form

Community Mental Health Program Progress Form

Mild traumatic brain injury program of care supplementary report

On the Health care forms page

Continuous/Surety bond (10568A)

Letter of credit Schedule 2

Continuous/Surety bond (10568A)

exposure incident report (construction only)

exposure incident report (construction only)

exposure incident report (all industries) (3958A)

Functional abilities form for early and safe return to work (2647A)

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Fatal or catastrophic injuries

Report online or call us at 1-800-387-0750

Contact us

1-800-387-0750

© , Workplace Safety and Insurance Board

  • Sign up
    • Businesses
    • Injured or ill people
    • Health care providers
    • Representatives and others
  • Log in
    • Businesses
    • Injured or ill people
    • Health care providers
    • Representatives and others
  • Businesses
    • Registration and coverage
      • Registration and coverage
      • How to register your business
      • Information you need to register your business
      • Employer Classification Manual (ECM)
      • Independent operators
      • Registration FAQs
      • New businesses - what you need to know
      • Mandatory coverage in the construction industry
      • Meeting your responsibilities
    • Premiums and payment
      • Premiums and payment
      • 2026 Premium Rates
      • 2025 Premium Rates
      • Rates from past years
      • Surplus rebate
      • How to report and pay your premiums
      • Understanding your rate
      • How to calculate your premium and insurable earnings
      • Premiums and payment FAQs
      • Reconciliation
      • Clearances
      • Business audits
      • Schedule 2
      • Experience rating programs
    • Account maintenance
      • Managing your account
      • Account balance and statements
      • Ownership changes
      • Changes to your business
      • Business activity change
      • Buying or selling your business
      • Authorizing a business representative
      • How to communicate with the WSIB by email
      • Closing your account
    • Claims
      • Claims
      • Injury or illness reporting
      • Fatality support
      • COVID-19 FAQs for business accounts
      • Occupational disease and workplace health hazards
      • Benefits provided to people with claims
      • Administrative Practice Documents
    • Return to work
      • Return to work
      • Return-to-work responsibilities
      • Getting help
      • Co-operating in the return-to-work process
      • Return to work and disability resources
      • Service providers
    • Appeals
      • Appeals
      • Objecting to a WSIB decision
      • Employer account operations decision
      • Review of claim file
      • Formal appeal
      • Representation
      • Appeal is registered
      • The oral hearing
      • Withdrawals
      • Appeals decision
      • Disagreeing with a decision of the ARO
      • Appeals: Common definitions
    • Small business
      • Small business
      • Benefits and programs
    • Health and safety
      • Health and safety
      • Make your business safer
      • First Aid Program
      • Health and Safety Excellence program
      • Check a business's safety record
    • Forms: Businesses
      • Forms: Businesses
    • Resources
      • Resources for businesses
      • Your Guide: services and responsibilities – business edition
  • Injured or ill people
    • Claims
      • Report an injury or illness
      • Making a claim for occupational disease
      • Making a claim for noise-induced hearing loss
      • Make a claim for work-related mental stress
      • Online services for your claim
      • Benefits
      • Occupational disease and survivors benefits program
      • Meeting your responsibilities
      • Administrative Practice Documents
    • Return to work
      • Return to work
      • Responsibilities for workers
      • Getting help with work reintegration for workers
      • Co-operating in the return-to-work process
      • Return to work and disability resources
      • Service providers
    • Appeals
      • Appeals
      • Objecting to a WSIB decision
      • Employer account operations decision
      • Review of claim file
      • Formal appeal
      • Representation
      • Appeal is registered
      • The oral hearing
      • Withdrawals
      • Appeals decision
      • Disagreeing with a decision of the ARO
    • Health and safety
      • Health and safety
      • First Aid Program
      • Check a business’s safety record
    • Forms: Injured or ill people
      • Forms: Injured or ill people
    • Resources for injured or ill people
      • Overview
      • Health care programs: Find a provider
      • Your Guide: Benefits, services and responsibilities – Claimant edition
    • Workplace fatality support
      • Report a workplace fatality or catastrophic accident
      • For families
      • FAIR partnership
  • Health care providers
    • Provider information
      • Health care information
      • Reporting requirements
      • Meeting your responsibilities
    • Provider fees
      • Provider fees
      • Health practitioner fees
      • Guidelines
    • Preferred suppliers
      • Preferred suppliers
      • Health care equipment and supplies
      • Information about hearing devices
    • Occupational disease
      • List of occupational diseases adjudicated by WSIB
      • Ontario regulation film services program
    • Programs
      • Health care programs
      • Community Mental Health Program
      • Programs of care
      • Interdisciplinary team program of care
      • Occupational health hub
      • Specialized recovery services
      • Drug benefit program
      • Serious injury program
    • Forms
      • Forms: Health care providers
    • Resources
      • Resources for health care providers
      • Health care practitioners & the WSIA
      • Physician learning modules
  • About us
  • Policy
  • Contact us