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Clear Form Notice of LTD/ESIB Print Form Complete Section A at the beginning of LTD/ESIB, keep a copy for your records and mail or fax a copy to the CAST Plan. Once Member stops being on LTD/ESIB,
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How to Fill Out Notice of LTDWSIB:

01
Begin by providing your personal information, such as your name, address, phone number, and email address. This will help ensure that the WSIB can contact you if necessary.
02
Next, indicate the date on which the injury or illness occurred. Be as specific as possible to ensure accurate record keeping.
03
Describe the nature of your injury or illness in detail. Include information such as how the incident occurred, what body part(s) were affected, and any contributing factors.
04
Specify the specific location where the incident took place. This can include the name and address of the workplace or the exact address if it occurred outside of the workplace.
05
If there were any witnesses to the incident, provide their contact information. This may be crucial if their statements are needed to support your claim.
06
Indicate whether you sought any medical treatment following the incident. Include the name of the healthcare provider and any relevant treatment details.
07
If your injury or illness has resulted in time off work, indicate the first day you were unable to work and the date you expect to return, if known.
08
Sign and date the notice of LTDWSIB form to complete the process.

Who Needs Notice of LTDWSIB:

01
Employees who have experienced a work-related injury or illness and are seeking benefits from the WSIB will need to complete the notice of LTDWSIB.
02
Employers may also need to fill out this notice if they become aware of an employee's work-related injury or illness and need to inform the WSIB.
03
Healthcare providers who have treated an individual for a work-related injury or illness may also need to complete portions of the notice if requested by the injured employee or the WSIB.
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The notice of ltdwsib is a form that employers must file to report workplace injuries and illnesses to the Workplace Safety and Insurance Board (WSIB).
Employers in Ontario are required to file notice of ltdwsib when an employee sustains a workplace injury or illness.
Employers can fill out notice of ltdwsib online through the WSIB's website or by submitting a paper form.
The purpose of notice of ltdwsib is to notify the WSIB of workplace injuries and illnesses so that the employee can receive compensation and appropriate services.
Employers must report the details of the injury or illness, the name of the employee, the date and time of the incident, and any other relevant information.
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