Forms: Injured or ill people

Submit a claim document

Find the form you need, fill it in using your desktop or laptop computer, save it and submit it online.

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Categories:

Report an injury or illness

You can report your injury, illness  through our secure online services. When you sign up for online services and report through your account, you can provide us with the information we need to quickly process your claim and get updates faster.

Report an exposure incident

You can sign up for a secure online services account to report your exposure incident.

You can also fill out and save an

Noise-induced hearing loss

You can report your work-related, noise-induced hearing loss claim through our secure online services.

You can also fill out and save a
 and then submit it.

Set up direct deposit

You can sign up for direct deposit through our online services to get your benefit payments sent right into your account.

You can also fill out a
(3072A) 
and fax or mail it to us.

Please note: Do not submit the form online.

Learn more about how to sign up for direct deposit.

Update us on your recovery and return to work

Submit expenses

Object to a decision

Authorize a third-party representative

Request your claim file