If you have sustained a workplace injury or illness, there are some things you need to do to initiate your WSIB claim.  The employer has a checkist of documentation that THEY require when a workplace injury or illness happens. 


You have a right to seek medical treatment for ANY workplace injury... do not let ANYONE talk you out of obtaining medical treatment!!!!

As an injured worker, you are required to submit what is known as a Form 6 if you sustain a workplace injury/illness requiring medical treatment. This is a four page document in which you describe your injury and the circumstances as to how your injury occurs. You are required to submit a Form 6 as soon as possible after having sought medical care. There is no requirement under law for an employer to provide you with this Form 6 when you need it. 

For that reason, your union has it available here for download and completion.  We have compiled a package which includes both a Form 6 and a Functional Abilities Form from WSIB for your use. 

The Functional Abilities Form (FAF), can be used instead of the employer's Treatment Memorandum for WSIB claims only. This form is completed by the doctor detailing your restrictions, if any.  The Form 6 / FAF package also includes an instruction sheet in the package explaining where to fax each document once completed.

The employer will offer you modified work when you are injured and have you sign a document saying that you have been offered modified work indicating that you either accept or decline the offer of modified work. This sometimes occurs before you have even been seen by a doctor or without knowing if you have any restrictions based on your injury. 

Your union STRONGLY advises you to refuse the modified work until you have been seen by a doctor and are made aware of any restrictions you may have barring you from modified work.  Inform your supervisor you will make a decision about modified work once you have been assessed and not before that point.  THIS IS YOUR RIGHT !!


If you have any questions about WSIB, Contact Blaine Bittman:

Cell:        (905) 329 4237

Email:      bittyman@gmail.com


WSIB Form 6 & FAF Package

If you're using this form, you've been injured at work.... [Feb 14, 2015 01:13 AM]

Functional Abilities Form

Use this form when you sustain a workplace injury and are put off work. It is used to advise the employer of your limitations. It is similar to the employer's Treatment Memorandum, with the major difference being the doctor bills WSIB for payment. This means you don't have to pay for the form completion and wait for reimbursement from the employer. USE THIS FORM FOR WSIB RELATED INJURIES ONLY !!!!! [Mar 6, 2015 10:20 AM]

WSIB Form 6

Used when a worker has sustained a workplace injury or illness. THIS is the form you complete telling your side of the story on how you became injured. [Mar 10, 2015 04:53 PM]

FORM 6 Reference Guide

An instructional manual published by WSIB on how to properly fill out your Form 6. [Mar 10, 2015 04:56 PM]

WSIB Exposure Form

This form is intended for voluntary use when an unplanned workplace incident exposure has resulted from a leak, spill, explosion, release, or an unexpected contact with a chemical or other substance. The event may have exposed workers to an infectious, chemical or other substance. The purpose of this form is to obtain information about the exposure incident experienced by the worker should an illness or disease occur in the future. [Mar 10, 2015 05:02 PM]