Get Worker Request For Copy Of Claim File - Wsib - Wsib On

This guide provides comprehensive instructions for completing the Worker Request For Copy Of Claim File - Wsib - Wsib On form online. By following these steps, you can efficiently request a copy of your claim file, ensuring that you have all necessary documentation at your disposal.

Follow the steps to successfully complete the request form for your claim file.

1. Press the ‘Get Form’ button to access the request form and open it for editing.
2. Fill in your personal details in the Worker Information section. This includes your last name, first name, claim file number, street address, apartment/suite number, city, province, postal code, country, date of birth, and telephone number.
3. Enter the date of your injury or illness using the format dd/mmm/yyyy.
4. Select one of the two options provided regarding where you want the claim file to be sent. You can choose to have it sent to your address listed above or to a third party.
5. If selecting to send the claim file to a third party, fill in the Third Party Information section with the necessary details, such as the third party's name, organization/firm, street address, city, province, postal code, country, and telephone number.
6. Place your signature in the designated area where it requests the signature of the worker.
7. Include the date in the format dd/mmm/yyyy where requested.
8. Once all fields are complete, you can save your changes, download the completed form, print it, or share it as needed.

Begin your request process online today to obtain your claim file.