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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)
WSIB coverage is mandatory for independent operators, sole proprietors, partners in a partnership and executive officers in a corporation who work in construction. Most will have to register with us (some exemptions apply).
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The WSIB provides no-fault collective liability insurance and access to industry-specific health and safety information for employers; provides loss of earnings benefits and health care coverage for workers; and provides help and support for return to work after an injury or illness incurred by workplaces covered under
How do I file a WSIB claim? To apply for WSIB benefits you should complete and sign the Workers Report of Injury/Disease (Form 6)openinnew. You can get this form on the WSIB website or you can phone the WSIB toll-free at 1-800-387-0750.
Completing the reconciliation form | WSIB.
[to be completed only by a physician or nurse practitioner] Section 37 of the Workplace Safety and Insurance Act provides the legal authority for health care practitioners, hospitals and health facilities to submit, without consent, information relating to someone claiming benefits to the WSIB.
Ontarios Workplace Safety and Insurance Board (WSIB) plays a key role in the provinces occupational health and safety system.

wsib ca form 6