Intent to object form wsib 2025

1. Click ‘Get Form’ to open the intent to object form in the editor.
2. Begin by filling in the Claim Identifiers section with your name and claim number. This information is crucial for identifying your case.
3. In the Objecting Party section, select whether you are the worker, a representative, or an employer. Make sure to check the appropriate box.
4. Provide your general information. Indicate if your address matches that on the decision letter. If not, fill in your updated contact details.
5. In the Representation section, specify if you will represent yourself or have a representative. If applicable, include their details.
6. State your Intent to Object by listing the decision(s) you disagree with and providing relevant dates and issues in dispute.
7. If you have new information for reconsideration, indicate this and attach any additional pages as necessary.
8. Finally, print and sign the completed form before submitting it via fax or mail as instructed.

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