Get the free WSIB Notification of Injury Form - 101210

Warren Saunders Insurance Brokers (Must) Pty Ltd CNR Forest Rd & Botany St Huntsville NSW 2220 PO Box 444 Huntsville NSW BC 1481 Telephone: (02) 9587 3500 Fax: (02) 9587 3442 DX 11365 Huntsville Email:

How to fill out wsib notification of injury

How to fill out WSIB Notification of Injury:

1. Start by providing your personal information, such as your name, address, and contact details.
2. Indicate the date and time of the injury or illness.
3. Clearly describe the details of the incident, including where it occurred, what you were doing at the time, and any contributing factors.
4. If you sought medical attention, include the name and contact information of the healthcare professional or facility you visited.
5. Specify the body part(s) affected by the injury or illness.
6. If applicable, provide details about any witnesses to the incident, including their names and contact information.
7. Make sure to sign and date the notification once you have completed all the required sections.

Who needs WSIB Notification of Injury:

1. Workers who have experienced an injury or illness in the workplace need to submit the WSIB Notification of Injury.
2. Employers are responsible for ensuring that their employees are aware and understand the importance of filling out this notification in a timely manner.
3. Health care providers may also need to complete parts of the notification if they have treated and diagnosed the injured employee.

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What is wsib notification of injury?

The WSIB notification of injury is a form that must be completed when an injury or illness occurs at work and results in lost time or medical treatment.

Who is required to file wsib notification of injury?

Employers are required to file the WSIB notification of injury when a workplace injury or illness occurs.

How to fill out wsib notification of injury?

The WSIB notification of injury can be filled out online or by completing a paper form provided by the WSIB.

What is the purpose of wsib notification of injury?

The purpose of the WSIB notification of injury is to report workplace injuries or illnesses to the WSIB so that proper benefits and support can be provided to the injured worker.

What information must be reported on wsib notification of injury?

Information such as the date and time of the injury, a description of how the injury occurred, and details of the injured worker must be reported on the WSIB notification of injury form.