Workplace safety insurance board form 0793a 2026

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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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Yes, you can utilize DocHub for signing any business and private documentation, including your wsib contact. All eSignatures you create with our tool are legally binding and court-admissible, as DocHub complies with standards required by ESIGN and UETA. Save your completed paperwork with a detailed Audit Trail if necessary.

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Is WSIB mandatory in Canada?

Did you know that WSIB coverage isnt mandatory for every business in Ontario? The Workplace Safety and Insurance Act (WSIA) outlines which industries need to have coverage and which industries dont. Businesses that do need to have WSIB coverage pay premiums in exchange for workplace insurance.

Who pays for WSIB in Ontario?

The WSIB is funded by the premiums received from Ontario businesses.

What is WSIB in Canada?

The Workplace Safety Insurance Board (WSIB) is the Ontario agency that provides insurance benefits for workers injured on the job.

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How to appeal a WSIB decision?

How do I start an appeal at the WSIB? Within the time limit, fill out and send an Intent to Object Formopeninnew to the WSIB. It is helpful to read the Worker Instruction Sheet provided by the WSIB before completing the form.

How long do you have to file a WSIB claim in Ontario?

You have six months from the date of injury or date of diagnosis to claim benefits by reporting your injury or illness to the WSIB.

Who qualifies for WSIB in Ontario?

To be eligible for benefits, you must be employed by an employer who is covered by the Workplace Safety and Insurance Act. The Act applies to most employers who are grouped in industry sectors and listed in the Act. To get help with workplace benefits, ask a lawyer now.

What is the purpose of the WSIB?

Were here to help. We provide wage-loss benefits, medical coverage and support to help people get back to work after a work-related injury or illness. We are funded by premiums paid by Ontario businesses. We provide no-fault collective liability insurance and access to industry-specific health and safety information.

How does WSIB calculate loss of earnings in Ontario?

Your LOE benefits are 85% of the difference between your NAE and the amount that you are earning (or what the WSIB believes you could earn if working at a job suitable for your injury) after the accident. The WSIB sets a maximum amount for average earnings each year.