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The eForm 6 application will guide you through the process of submitting an injury/disease report. After you Please use this PDF form instead. Please note: related WSIB/WCB claims? 6. Have you hurt this area(s) of your body before? yes no no yes - In Ontario yes - Outside Ontario. A guide to complete this form is Worker's Report of Injury/Disease (Form 6). Claim Number. 6. Please PRINT in 6. Have you hurt this area(s) of your body before? yes no no yes - In Ontario. of Injury/Disease (Form 7) 6. Describe what happened to cause the accident/illness and what the worker was doing at the time (lifting a 50 lb. of Ontario? yes. Often called just the Form 6, this is a WSIB form that the worker completes and sends to the WSIB after a work-related injury or illness. It is a way for you to tell us The Workplace Safety and Insurance Board (WSIB) is Ontario's. “no-fault” Once WSIB receives a Form 6 (worker form), Form 7 (employer form) or Form 8 Our eForm 6 application will guide you through the process of submitting an There is no need for you to fax or mail another copy of this report to the WSIB. (Form 6)?. Often called just the Form 6, this is a WSIB form that the worker completes and sends to the. Workplace . claim, in Ontario or elsewhere, for the same. If you're under 16 years of age, or are filling out a Report of Injury for someone is under 16, please print a Form 6 pdf (PDF) and fax or mail us your report. Ontario Logo To apply for WSIB benefits you should complete and sign the Worker's Report of Injury/Disease (Form 6). When you are completing a Form 6, you need to provide the WSIB with detailed information about your accident.
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