Worker s Report of Injury or Occupational Disease to Employer 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the 'Worker’s Information' section. Fill in your last name, first name, date of birth, and other required fields such as your WorkSafeBC claim number and social insurance number.
3. Next, provide details about your employer in the 'Employer’s Information' section. Include the organization name, type of business, and contact information.
4. In the 'Incident Information' section, accurately record the date and time of the incident. Specify if you received first aid and provide details about any medical attention received.
5. Complete the remaining fields regarding witnesses, protective equipment used, and a detailed description of how the incident occurred.
6. Finally, sign and date the report at the bottom before submitting it directly to your employer.

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