Forms: Business

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Categories

• Claims
  • Report an injury, illness or exposure
  • Support your employee's recovery and return to work
  • Object to a claim decision
  • Re-open a claim
  • Accident cost statement
• Your account
  • Get WSIB coverage
  • Manage your premiums, rates and coverage
  • Annual reconciliation for monthly reporting businesses
  • Pay your premiums
  • Schedule 2 security requirement
  • Determine your independent operator status
  • Verify coverage when buying or selling your business
  • Authorize a third-party representative
  • Object to a decision about your account
  • Email us
• Order print materials

Claims

Report an injury, illness or exposure

Log in to your online services account to report a workplace injury or illness.  

• You can also fill out, save, and upload a 
  report of injury/disease Form 7 (0007A)

  • Please read our Form 7 reference guide for businesses if you have questions about reporting

• You can complete our initial injury or illness self-evaluator for businesses to ensure you’re complying with legislative requirements
• If you're reporting a fatal workplace accident, please call us 24/7 at 1-800-387-0750. You can leave a message if you’re calling after-hours, and we’ll return your call within one business day
• Report an occupational noise-induced hearing loss claim (0137A)
• Report on needlestick injury or body fluid splash (2819A)

Report an exposure incident 

Support your employee's recovery and return to work

• Functional abilities form for early and safe return to work (2647A)
• Guide to completing the functional abilities form
• Physical Demands Information Form (2828A, 2829A, 2830A, 2851A, and 2852A)
• Example of Section 2: Duties and Physical Demands
• Example of Section 3: General Physical Demands and Section 4: Additional Considerations
• Progress Report (0042A)
• Employer's subsequent statement (0009A)
• Treatment Memorandum (0156C)
• Long term rate earnings questionnaire (0717A)
• Modified earnings report (3146A)

Object to a decision about a claim

• Intent to object form - Employer (2399A)
• Instructions for completing the form - businesses (2392A)

Re-open a claim

• Continuity Report Post-1998 (Form WRE07) / Re-open Claim Earnings Post-1998 (Form WRE07E) (3233A and 3524A)

• Continuity Report Pre-1998 (Form RE07) / Re-open Claim Earnings Pre-1998 (Form RE07E) (2233A and 2235A)

Accident cost statement

• Accident cost statement code mapping

Your account

Get WSIB coverage

• Register online
• Employer by Application Form (0090A)
• Employer by Application Entertainment Industry (0095A)
• Optional insurance request/change for Schedule 1 businesses
• Optional Insurance Consent Form under Schedule 2 (1034A)
• Application for exemption from coverage for a Partner and Executive Officer in construction (1208A)

• Application for reduced premium rate for non-exempt partners and executive officers in construction (1209A)

• Schedule Transfer Request (3193A)

Manage your premiums, rates and coverage

• Application for Alternative Assessment Procedure for Interjurisdictional Trucking  (2642A)​

Annual reconciliation for monthly reporting businesses

• Complete your annual reconciliation online
• Reconciliation Form – working copy
• Pre-January 1, 2020 with classification unit and rate group classification (1014A)

• Post-January 1, 2020 with NAICS code and class/subclass classification (1014RA)

Pay your premiums

• Prepayment Request Form (3602A)
• Letter of Credit Schedule 1

Schedule 2 security requirement

• Letter of credit Schedule 2
• Continuous/Surety bond (10568A)

Determine your worker or independent operator status

• Determining worker/independent operator status questionnaire

Verify coverage when buying or selling your business

• Purchase Certificate Worksheet (1238A)

Authorize a third-party representative

• authorization for access to business account information form
• authorization for claim-related information for legal representative (Direction of authorization)

Object to a decision about your account

• Objecting to an employer account decision (3363A)

Email us

• email consent form

Order print materials

• Print material order form