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Forms: personal

New document upload tool

Sending us claims-related forms just got easier with our new upload tool.

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If you have any questions about these forms, or would like help filling them out, please call us at 1-800-387-0750 or 416-344-1000 (TTY: 1-800-387-0050) Monday to Friday, 7:30 a.m. to 5 p.m.

Form Number Form Name
Report An Injury/Illness


Worker's Report of Injury/Disease Form 6

For a faster, more efficient experience, you can complete and submit your Report of Injury/Illness online or call us at 1-800-387-0750 or 416-344-1000 (TTY: 1-800-387-0050) Monday to Friday, 7:30 a.m. to 5 p.m.

If you're under 16 years of age, or are filling out a Report of Injury for someone is under 16, please print a Form 6 pdf (PDF) and fax or mail us your report.

Our Reference Guide for Workers (PDF) will give you more information on filling out this form.

Worker's Report Occupational Noise Induced Hearing Loss

Worker's Exposure Incident Reporting Form - PEIR


3885A (PDF) 

Worker's Exposure Incident Reporting Form - CEIR




2397A (86.0kb, PDF)

Intent to Object form

Read our instructions to workers (PDF) on how to fill out this form.


(148k, pdf)

WSIB Medication Reimbursement Form

Request a copy of your claim form

(Request for Access to Own Personal Information)

Worker Health Care Travel Expense Form
2719A (PDF) Health Care Travel Expense Form - Occupational Disease and Specialized Services
2996A (PDF) 

Complete and submit our work transition travel and related expenses form or fill out our online application.

3072A (PDF)

Spanish (PDF)

Direct Deposit Enrollment form

Solicitud de depósito directo

Please do not upload your direct deposit information using the document upload tool. Send your form by email, mail or fax.

3074A  (PDF) 
Power of Attorney for Property/Guardianship of Property Form
General Worker Expense Form
3306A (PDF) 

Complete and submit our clothing allowance form or fill out our online application.

Vision Care Claim Form
Employee Coverage
WSIB Policy Manuals Order Form

Direction of Authorization

This is not a request for access or an appeals form. It is only used to provide authorization for representation in a claim. Only after this authorization is obtained can a representative be given verbal or written information about the claim or make a request to be provided with copies of claim file documents.

Return to Work and Recovery
Worker's Progress Report
Worker's Continuity Report (Form REO6)
2647A (PDF) 

Functional Abilities Form for Early and Safe Return to Work version 2006

Guide to Completing the Functional Abilities Form (pdf)

Compass: Guiding you to a healthy and safe workplace
WSIB@work seasonal newsletter