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What is a Worker's Report of Injury/Disease (Form 6)? Often called just the Form 6, this is a WSIB form that the worker completes and sends to the Workplace Safety and Insurance Board after a work-related injury or illness. It is a way for you to tell us the details of what happened to cause the injury or illness.
WORKER: Complete and submit Form 6 \u2013 Worker's Report of Injury or Disease. REMEMBER: You can fill out the form on the WSIB website, submit it via mail or fax, or speak to a representative at 1-800-387-0750 (TTY: 1-800-387-0050).
The WSIB uses a variety of forms to collect accident information from an employer. In every case, the information must be sufficient to allow the WSIB to set up a claim. Accordingly, the WSIB allows the employer to report the accident through the use of an: Employer's report of injury/disease Form 7 (Form 7)
To file your eForm 6, you need this information: Employer information ( i.e. name, address) Accident/Illness details ( i.e. date of accident, area of injury) Health care information ( i.e. treatment date & location) Employment information ( i.e. work schedule, earnings)
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