information about my functional abilities on the WSIB’s “Functional Abilities Form for Planning Early and Safe Return to Work”. It is an offence to deliberately make false statements to the Workplace Safety and Insurance Board.

before you submit your Form 6. For help filling out your report, check out our reference guide for people with workplace injuries or illness; Report an exposure incident. You can sign up for a secure online services account to report your exposure incident.

To apply for WSIB benefits you should complete and sign the Worker’s Report of Injury/Disease (Form 6). You can get this form on the WSIB website or you can phone the WSIB toll-free at 1-800-387-0750.

The Workplace Safety and Insurance Board (WSIB) has a Guide for people with workplace injuries or illness. It describes in detail how to fill out each section of the Worker's Report of Injury/Disease (Form 6). The guide is also helpful if you're filling out your Form 6 using the WSIB's online services. Describe your injury

The Workplace Safety and Insurance Act requires you to give a copy of this report (Worker's Report of Injury/Disease - Form 6) to your employer. D. Health Care Information Give your Health Professional your WSIB Claim number. 1. Did you get first aid If yes,

"Functional Abilities Form for Planning Early and Safe Return to Work". It is an offence to deliberately make false statements to the Workplace Safety and Insurance Board. I declare that all of the information provided on pages 1, 2, and 3 is true.

Worker s report of injury/disease (Form 6) - WSIB

When you finish reporting your injury or illness using the online services, the Workplace Safety and Insurance Board (WSIB) gives you a reference number. If you fill out a print copy of the Form 6, you send it to the WSIB online. Or you mail or fax it. The information you need to do this is on the form. Giving a copy to your employer

To file a claim for benefits, you must report your injury or illness to the Workplace Safety and Insurance Board (WSIB). You do this by filling out a Worker's Report of Injury/Disease (Form 6) and sending it to the WSIB. You should file a claim even if your employer or doctor has already reported your injury or illness to the WSIB. How to get a ...