Our office is here to assist you with your WSIB claim.

Steps you must take

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IF INJURED AT WORK, OR EXPERIENCING AN ILLNESS/DISEASE THAT YOU BELIEVE IS RELATED TO YOUR WORK...

  • Immediately report the injury or illness/disease to your supervisor or employer.
  • Get medical attention, inform the treating physician how the accident occurred or in the case of an illness, what you are exposed to in the workplace. The physician will complete a Form 8 (Health Professional’s Report), for WSIB.

 If you are able to return to work, your treating physician may want you to have work restrictions. These restrictions will allow you to continue to work through your recovery.

  • Inform your employer of the outcome of the medical appointment. It is at this time that you will discuss your return to work. As your return to work is discussed, you should have meaningful input in identifying work that you are able to do. The modified work you do while recovering should not cause pain.
  • Once you have informed your employer of the medical care you received, the employer will, within three days, complete a Form 7 (Employer’s Report of Injury/Disease). Your employer will provide you with a copy of the Form 7.
  • Your obligation is to complete a Form 6 (Worker’s Report of Injury/Disease) The WSIB will send you one as soon as they are notified of the injury by the workplace or the treating physician, or you can get them on-line or at our office. Give a full description of the accident or in the case of an injury that developed over time, give a detailed description of the work you perform. Identify the body part(s) that are effected by the injury.
  • Once all three forms (6,7 & 8) are received, a Claims Adjudicator will review all the information and determine if the claim is accepted. You will receive a letter informing you of the decision. If your claim is accepted and you are not returning to your regular work, your file will go to a Case Manager to determine what benefits you are entitled to.
  • If you claim is not accepted the Claims Adjudicator or Case Manager will send out a denial letter with a time limit of six months to appeal. If you wish to appeal the decision you must act within this time period.

WSIB APPEAL SYSTEM

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Unionized Workers

Workers should contact their union representative to manage the

appeal.

Non-Unionized Workers

Workers not covered by a union can get assistance at our office.


LEVELS OF APPEAL

  • Reconsideration at the operating level (Claims Adjudicator or Case Manager)
  • Appeals Resolution Office (inside the WSIB)
  • WSIB Tribunal (outside the WSIB)