Procedure of Wsib

WSIB CLAIM PROCEDURES

If you seek medical attention or lose time from work due to your workplace injury, the following forms must be completed.

WORKPLACE INJURY/ILLNESS FORM A2320 – This form initiates a WSIB Claim.

Employee to complete Pages 1 & 2 with all required information

Supervisor to complete Page 3

Completed Form to be submitted to Human Resource Services – Compensation & Wellness Department with in 1 day of Incident.

FORM 7 – This is the Employer’s report of injury. The employer will complete this form with the information provided on your Report of Workplace injury/illness You will receive a copy from Human Resource Services – Compensation & Wellness Department A copy is also submitted to WSIB to initiate your claim

FORM 6 – This is the Employee’s report of injury to WSIB Workers Safety Insurance Board (WSIB) will send you a form 6 to be completed.

Once received, please return to WSIB and send a copy to Human Resource Services – Compensation & Wellness Department

FORM 8 – This is the physician’s report of injury This report is completed by your Health Practitioner and sent directly to WSIB

FUNCTIONAL ABILITIES FORM – This provides the Employer with details about your abilities and work restrictions

This report is completed by your Health Practitioner You will have to sign this form authorizing your health professional to provide this information to your employer A copy needs to be submitted to Human Resource Services – Compensation & Wellness Department

You are responsible to co-operate with the modified work process

Communicate any changes in status and additional medical appointments to your Supervisor and Human Resource Services – Compensation & Wellness Department.

If there are any questions or concerns please contact Human Resource Services – Compensation & Wellness Department. These forms are in place for WSIB to make a decision on your Claim and to Plan an Early and Safe Return to Work.