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The document is an 'Intent to Object Form' used by workers, their representatives, or employers to formally disagree with a decision made by the Workplace Safety & Insurance Board (WSIB). It includes sections for claim identifiers, objecting party details, general information, representation options, and a space for stating reasons for the objection. The form allows individuals to provide new information that may influence the reconsideration of the decision.

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How to appeal a Wsib decision?

Both the Intent to Object Form and the Worker Instruction Sheet are available from the WSIBs website or by phoning the WSIB at 1-800-387-0750. On the Intent to Object Form, you must write the date of the WSIB decision you disagree with and you must list the issues you want to appeal.

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