Wsib general worker expense form 2026

1. Click ‘Get Form’ to open the wsib general worker expense form in the editor.
2. Begin by filling out Section A: Worker Information. Enter your last name, first name, current address, city, province, postal code, home phone, work phone, and birth date. If you have a new address, indicate 'yes' or 'no'.
3. Proceed to Section B: Expense Information. Attach original receipts and prescriptions as required. Fill in the description of the service/product received, quantity, who recommended it (including their contact details), date purchased or of service (in mm/dd/yyyy format), and the amount spent.
4. In Section C: Worker Declaration, certify that all information is accurate. Sign and date this section before submitting your form to ensure compliance with WSIB requirements.

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