Worker Forms
Technical Problems
Select WSIB forms have encountered intermittent problems opening in the Adobe Acrobat 9.0 Reader format. The WSIB has isolated this problem and it is being corrected. If you encounter a problem, please contact the WSIB at wsibcomm@wsib.on.ca and we will get back to you and help you obtain a hard copy version as a temporary measure.
Clear your cache
When completing our forms online, please ensure that you clear your browser’s cache afterwards.
To clear your cache: |
| 1. | On the Tools menu in Internet Explorer 6, click on Internet Options. |
| 2. | On the General tab, in the Temporary Internet Files section, click on the Delete Files button. |
| 3. | Click on Ok and then click on OK again, at the bottom of the box. |
Learn how to complete our forms
Forms Order Line
416-344-3862 (available 24 hours daily)
1-800-387-5540, ext. 416-344-3862 (available during business hours)
| Form Number | Form Name |
| Worker's Report of Injury/Disease Form 6
The Reference Guide for Workers (1.3mb, pdf) will give you more information on filling out this form. You can now complete and submit the worker’s Form 6 in a fast, easy and secure way. |
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| Worker's Report Occupational Noise Induced Hearing Loss |
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| Worker's Progress Report |
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| WSIB Medication Reimbursement Form |
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| Voluntary X-Ray & Pulmonary Function Test |
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| Direction of Authorization
This is not a request for access or an appeals form. It is used solely 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. |
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| Request a copy of your claim form
(Request for Access to Own Personal Information) |
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| Worker's Continuity Report (Form REO6) |
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| Functional Abilities Form for Early and Safe Return to Work version 2006
Guide to Completing the Functional Abilities Form (239k, pdf)
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) |
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| Worker Travel Expense Form |
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| General Worker Expense Form |
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| Workplace-Specific Hazard Training Confirmation |
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| Vision Care Claim Form |
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| Worker's Exposure Incident Form |
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| Order Form |
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| WSIB Policy Manuals/Newsletter Order Form |
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| Download Acrobat Reader |
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Forms
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