Skip to Main Content francais
WSIB logo
Prevention Banner
Search
Newsroom
Forms
Policy
Research
Resources
Partners
Community Network
About Us
Ontario Worker
Remember that you must print, sign and then send your forms to the WSIB. Remember to include both federal and provincial net claims for exemptions and net claim codes when reporting earnings information on Form 7s and similar forms.
HomePreventionEmployersWorkersHealth Care Professionals
Home > Forms > Employer Forms
    Change text sizeEmail a FriendPrint Friendly Version
    EmployersWorkersHealth ProfessionalsMiscellanous

    Employer Forms

    Clear your cache
    When completing our forms online, please ensure that you clear your browser’s cache afterwards.

    To clear your cache:
    1.On the Tools menu in Internet Explorer 6, click on Internet Options.
    2.On the General tab, in the Temporary Internet Files section, click on the Delete Files button.
    3.Click on Ok and then click on OK again, at the bottom of the box.

    Federal and Provincial Codes on Forms
    Remember to include both federal and provincial net claims for exemptions and net claim codes when reporting earnings information on Form 7s and similar forms. The government now requires separate federal and provincial codes for calculating employee payroll tax deductions. The Canadian Revenue Agency (CRA) Web site provides a pdf of the federal and Ontario T4032 Payroll Deductions Tables. For more information, please contact your account manager or customer service representative, or call the CRA toll-free information line: 1-800-959-5525.

    Learn how to complete our forms

    Forms Simplification Project
    The WSIB revised the 'Progress Reports' and 'Continuity Reports' families of forms.

    Forms Order Line
    416-344-3862 (available 24 hours daily)
    1-800-387-5540, ext. 3862 (available during business hours)

    Form Number Form Name
    0007A
    (606k, pdf)
    Employer's Report of Injury/Disease Form 7
    The Reference Guide for Employers (1.8mb, pdf) will give you more information on filling out this form. You can now complete and submit the employer’s report of injury/illness Form 7 in a fast, easy and secure way.
    0009C
    (166k, pdf)
    Employer's Subsequent Report
    0042A
    (226k, pdf)
    Employer's Progress Report Form 42
    0090C
    (231k, pdf)
    Employer by Application
    Does your firm have voluntary by-application workplace safety and insurance coverage?
    If so, check out the rules for cancellation of by-application insurance.
    0095C
    (536k, pdf)
    Employer by Application Entertainment Industry
    0137A
    (311k, pdf)
    Employer's Report Occupational Noise Induced Hearing Loss
    0156C
    (123k, pdf)
    Treatment Memorandum
    0236A
    (389k, pdf)
    Safety Groups Program Firm Application Form
    0688C
    (123k, pdf)
    Order Form for Employer Forms
    0775A
    (356k, pdf)
    Employer's Registration
    0937A
    The Premium Remittance Form is no longer available online. It is customized for your business with special encoding for fast bank processing. To get your form, please contact your CSR or Account Manager directly or call the WSIB office nearest you.

    See how to complete the Premium Remittance form (215k, pdf).

    Learn how to calculate and report your premium online.
    1009A
    (195k, pdf)
    Reconciliation Form

    Reconciliation Guide (994k, pdf)
    1014A
    (250k, pdf)
    Reconciliation (Working Copy)
    1034A
    (155k, pdf)
    Optional Insurance Consent Form under Schedule 2
    1149A
    (533k, pdf)
    Trucking Independent Operators Questionnaire
    1152A
    (488k, pdf)
    Determining Worker / Independent Operator Status, Taxi Industry
    1157A
    (774k, pdf)
    Courier Independent Operators Questionnaire
    1158A
    (512k, pdf)
    General Independent Operators Questionnaire
    1168A
    (466k, pdf)
    Logging Independent Operator Questionnaire
    1169A
    (473k, pdf)
    Construction Independent Operator Questionnaire
    1169G
    (66k, pdf)
    Allegato al questionario per l'edilizia
    (Construction Independent Operator Questionnaire in Italian)
    1169P
    (70k, pdf)
    Industria Constructora Adjunto al Cuestionario
    (Construction Independent Operator Questionnaire in Spanish)
    1169M
    (66k, pdf)
    Anexo ao Questionário da Indústria da Construção Civil
    (Construction Independent Operator Questionnaire in Portuguese)
    1574A
    (180k, pdf)
    Optional Insurance Request/Change, Schedule 1 Employers
    1797A
    (247k, pdf)
    Employer’s Direction of Authorization

    This form allows an employer to authorize a third party representative to
    • represent the employer in relation to the employer’s account (firm file), and/or
    • obtain access to confidential employer account–related information.
    This form is not acceptable for use for any purpose relating to individual claim files.

    For all claim file issues, the employer must provide written authorization in accordance with the requirements for claim file representatives set out in Policy 21-02-04, Disclosure of Claim File Information to Worker or Employer Representatives.
    1824
    (128k, pdf)
    Direction of Authorization
    2233A and 2235A
    (442k, pdf)
    Employer's Continuity Report Pre-1998 (Form RE07) (For use in claims with an original Accident Date prior to January 1, 1998) and Re-open Claim Earnings Pre-1998 (Form RE07E) (For use in claims with an original Accident Date prior to January 1, 1998)
    2642A
    (189k, pdf)
    Application for Alternative Assessment Procedure for Interjurisdictional Trucking
    2647A
    (374k, pdf)
    Functional Abilities Form for Early and Safe Return to Work version 2006

    Guide to Completing the Functional Abilities Form (239k, pdf)

    Old version (November 2000) of Functional Abilities Form for Timely Return to Work (187k, pdf, view only; Worker's Health number & Social Insurance number not required on form)
    2819A
    (253k, pdf)
    Report on Needlestick Injury
    3118A
    (300k, pdf)
    Safe Communities Incentive Program Firm Application Form
    3166A
    (154k, pdf)
    Safety Groups Action Plan Progress Report
    3167A
    (219k, pdf)
    Safety Groups Year-end Achievement Report
    3188
    (35k, pdf)
    Safety GroupsYear-end Maintenance Report (35k, pdf)
    3168A
    (197k, pdf)
    Safety Groups Action Plan
    3189A
    (276k, pdf)
    Workplace-Specific Hazard Training
    3193A
    (132k, pdf)
    Schedule Transfer Request
    3233A and 3524A
    (448k, pdf)
    Employer's Continuity Report Post-1998 (Form WRE07) (For use in claims with an original Accident Date after January 1, 1998) and Re-open Claim Earnings Post-1998 (Form WRE07E) (For use in claims with an original Accident Date after January 1, 1998)
    3602A
    (541k, pdf)
    Prepayment Request Form
    3959A
    (300k, pdf)
    Employer's Exposure Incident Form
    Letter of Credit for Schedule 2 Employers
    Letter of Credit for Schedule 1 Employers
    PDIF
    (1.1mb)
    Physical Demands Information Form: contains forms 2828A, 2829A, 2830A, 2851A, and 2852A.
    PC Worksheet
    (30k, pdf)
    Purchase Certificate Worksheet

    Get Acrobat Reader
    Download Acrobat Reader

    Forms



    Home | Prevention | Employers | Workers | Health Care Practitioners
    Newsroom | Forms | Policy | Research | Resources | Partners | Community NetWork | About Us
    ® 1998-2008, Workplace Safety and Insurance Board