Workplace safety insurance board form 0793a 2026

The document is a consent form for employers to authorize the Workplace Safety & Insurance Board (WSIB) to share their firm file or account information with third parties who are not legal representatives. It outlines the necessary employer and third-party information, options for requesting file access, and instructions for managing consent. The form emphasizes that it is the employer's responsibility to manage consent and provides contact information for assistance.

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Click ‘Get Form’ to open the workplace safety insurance board form 0793a in the editor.
Begin by filling out the Employer Information section. Enter the Legal Name of Company, Address, Account No., City/Town, Telephone, Firm No., Postal Code, Province, and Fax number.
In the options provided, select whether you request a copy of your firm file to be sent to you or a third party. If sending to a third party, complete the Third Party Information section with their details.
Designate an Authorized Officer of the Company by printing their name and position/title. Ensure they sign and date the form in the designated area.
If applicable, indicate the Authorization Expiry Date for sharing information. Remember that if no date is provided, it defaults to six months from the Effective Date.
Review all entered information for accuracy before saving your changes. Once completed, print and sign as required.

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