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 (356.6kb, PDF) and fax or mail us your report.
Our Reference Guide for Workers (1.3mb, 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 (1.6mb, PDF)||
Worker's Exposure Incident Reporting Form - CEIR
2397A (86.0kb, PDF)
Intent to Object form
Read our instructions to workers (81.4kb, PDF) on how to fill out this form.
|WSIB Medication Reimbursement Form|
Request a copy of your claim form
(Request for Access to Own Personal Information)
|Worker Travel Expense Form|
|2996A (79.5kb, PDF)||Work Transition: Worker Travel and Expenses|
|General Worker Expense Form|
|3306A (159.9kb, PDF)||Clothing allowance application|
|Vision Care Claim Form|
|WSIB Policy Manuals/Newsletter 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 (147.0kb, PDF)||
Functional Abilities Form for Early and Safe Return to Work version 2006
Old version (November 2000) of Functional Abilities Form for Timely Return to Work (187k, pdf, view only; Worker's Health number & Social Insurance number not required on form)