Wsib form 6 pdf 2025

1. Click ‘Get Form’ to open the WSIB Form 6 PDF in the editor.
2. Begin with Section A – Worker Information. Fill in your full name, mailing address, phone number, date of birth, and Social Insurance Number. Ensure all details are accurate to avoid delays.
3. Proceed to Section B – Employer Information. Provide your employer's full company name and contact details. If applicable, include information about a temporary employment agency.
4. In Section C – Accident/Illness Dates and Details, specify the date and time of the accident or when you first noticed your illness. Describe the incident thoroughly, including any witnesses.
5. Move on to Section D – Health Care Information. Indicate if you received first aid at work and list any health care providers you visited for treatment.
6. Complete Section E – Lost Time & Return to Work by detailing any lost time from work due to your injury and whether you've returned to regular or modified duties.
7. Fill out Section F – Earnings by providing your rate of pay and usual hours worked per week. This information is crucial for calculating benefits.
8. Finally, sign and date the form in Section G – Declarations and Signature before submitting it via fax or mail as instructed.

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