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Ontario 0006A 2023-2025 free printable template

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This document is used by employees to report injuries or diseases that occur at work, including details about the accident, health care information, and earnings. It serves to initiate a claim under
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After an injury or illness occurs, your employer must: Provide a workers' compensation claim form to you within one working day a work-related injury or illness is reported. Return a completed copy of the claim form to you within one working day of receipt.
Often called just the Form 6, this is a WSIB form that the worker completes and sends to the Workplace Safety and Insurance Board after a work-related injury or illness. It is a way for you to tell us the details of what happened to cause the injury or illness.
There is a time limit for you to report. It is important to claim benefits as soon as possible. You have six months from the date of the accident to claim benefits or, for occupational diseases, from the time you learn of the disease.
How to report Sign up for online services and report through your account. Report your injury, illness or exposure incident through our secure online services. Download the WSIB app. Fill out a Form 6 PDF and submit online. Fill out a Form 6 PDF and fax or mail it.
From your computer, tablet, or smartphone: Log in to your online services account. If you don't have an account, sign up. Enter the claim information. Select the documents that you want to submit. Confirm if they are WSIB forms. Get a confirmation.

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A workers report of injury/disease is a document that employees use to report any work-related injuries or illnesses to their employer. It helps in tracking incidents and can be used for insurance claims.
Typically, employees who sustain work-related injuries or illnesses are required to file a workers report of injury/disease. Employers may also need to submit reports for their records.
To fill out the report, the employee should provide their personal information, details of the injury or illness, the date it occurred, the circumstances surrounding the incident, and any medical treatment received.
The purpose is to officially document workplace injuries and illnesses, facilitate workers' compensation claims, monitor workplace safety, and help manage health risks within the workplace.
Essential information includes the employee's name, contact information, job title, details of the injury or illness, location and time of the incident, and any witnesses or medical treatment.
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