Worker's Report of Injury/Disease (Form 6)

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What is Worker’s Report of Injury/Disease?

WSIB Ontario form 6 is widely used to report the illness, injury, or exposure of the worker. Sometimes it is called form 6. The form is used according to the Workplace Safety and Insurance Act from 1997. The worker has to complete and send it to the Workplace Safety and Insurance Board which accepts all similar forms. The injury that the worker received or the illness that the worker is currently suffering from must be received during work or somehow related to the worker’s main tasks at work. The board will decide based on the situation what type of help and compensation can be provided to the worker. There are disciplinary measures that can be activated after the investigation of the case.

As a worker, you need to report the injury to the employer in the first place. After that, the employer has to report the accident to the WSIB. The employer has to fill the template with form 7. Yet, if form 7 was not filled you need to make a report to the WSIB by yourself. You have to officially confirm your situation with form 6.

Worker's Report of Injury/Disease on PDFLiner

What I need the Worker’s Report of Injury/Disease for?

  • An employee who receives an injury or got ill while performing working tasks has to complete WSIB form 6 Ontario and report the incident that occurred. The form contains a description of the actions made by the worker, the dates, and the details of the injury;
  • The employer has to receive the form in advance, from the worker after the injury was made or after the employee got ill. Based on the form employer has to provide form 7 to the Board and make sure that the details told by the employee and described in form 7 are matching;
  • The form can be used as proof of an employee's situation.

How to fill out Worker’s Report of Injury/Disease?

The workers report of injury form 6 is available on the official website of the Workplace Safety and Insurance Board of Ontario. You will find it in no time on the Internet. However, if you want to fill it out online, use a PDF editor like PDFLiner that allows you not only to read the form, open it, or download it on your device but also to complete it. Once the form is filled with the data, double-check everything, make sure you provide the correct information, save it on your device, print the copy, and send it to the employer or send it via email. Here is what you have to include in the workers report of injury form:

  1. Provide information about an employee, including name, SIN, address, phone number, position at work, the date you’ve begun your work, language you prefer, and name of the union if you are the member;

  2. Provide information on the employer, including the company name, address, and name of supervisor;

  3. Share the information about the illness, including the date, the name of the person who reported the accident, phone number;

  4. Describe the injury, accident, or disease;

  5. Indicate the professional who treated you;

  6. Provide information about the earnings.

Worker's Report of Injury/Disease on PDFLiner

Organizations that work with Worker’s Reports of Injury/Disease

  • Canada Revenue Agency;

  • Workplace Safety and Insurance Board of Ontario.

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