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  • Wsib Medication Reimbursement Form

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St with your claim number and ask that your prescription be processed through the WSIB on-line system. Instructions for Completion A. Worker Information Last name First name Current address City Initials Province Postal Code New address? yes Home phone ( Work phone ) ( B. Medication Information 1. Please print clearly in black ink. 2. Complete sections A, B, & C in full. 3. Send all original pharmacy receipts (not photocopies) with this form. Please write your claim number on eac.

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What do I do? It can take up to two business days to receive a response. If you still don't have a response after two full business days, call us at 1-800-387-0750 Monday to Friday 7:30 a.m. to 7:45 p.m.

How to report Sign up for online services and report through your account. Report your injury, illness or exposure incident through our secure online services. ... Download the WSIB app. ... Fill out a Form 6 PDF and submit online. ... Fill out a Form 6 PDF and fax or mail it.

From your computer, tablet, or smartphone: Log in to your online services account. If you don't have an account, sign up. ... Enter the claim information. ... Select the documents that you want to submit. ... Confirm if they are WSIB forms. ... Get a confirmation.

How to report Sign up for online services and report through your account. Report your injury, illness or exposure incident through our secure online services. ... Download the WSIB app. ... Fill out a Form 6 PDF and submit online. ... Fill out a Form 6 PDF and fax or mail it.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232