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    Worker Forms

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    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
    0006A
    (337k, pdf)
    Worker's Report of Injury/Disease Form 6
    The Reference Guide for Workers (1.3mb, pdf) will give you more information on filling out this form. You can now complete and submit the worker’s Form 6 in a fast, easy and secure way.
    0032A
    (265k, pdf)
    Worker's Report Occupational Noise Induced Hearing Loss
    0041A
    (194k, pdf)
    Worker's Progress Report
    0806A
    (148k, pdf)
    WSIB Medication Reimbursement Form
    1087A
    (165k, pdf)
    Voluntary X-Ray & Pulmonary Function Test
    1824
    (128k, pdf)
    Direction of Authorization
    2144A
    (48k, pdf)
    Request a copy of your claim form
    (Request for Access to Own Personal Information)
    2232A
    (236k, pdf)
    Worker's Continuity Report (Form REO6)
    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)
    2721A
    (198k, pdf)
    Worker Travel Expense Form
    3039A
    (198k, pdf)
    Serious Injury Program, Health Care Expenses
    3164A
    (324k, pdf)
    General Worker Expense Form
    3189A
    (276k, pdf)
    Workplace-Specific Hazard Training Confirmation
    3585A
    (352k, pdf)
    Vision Care Claim Form
    3958A
    (276k, pdf)
    Worker's Exposure Incident Form

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