Get Wsib Authorization Form

The Wsib Authorization Form is crucial for allowing a representative to act on behalf of a worker or employer regarding claims. This guide will provide clear instructions on how to complete the form online, ensuring a smooth process for all users.

Follow the steps to complete the Wsib Authorization Form online.

1. Click ‘Get Form’ button to access the Wsib Authorization Form and open it in your editor.
2. Begin filling out Part A, identifying whether you are the worker or employer. Provide the appropriate name, date of birth, address, and contact information in the specified fields.
3. In Part B, input the representative's details, including the name of the person or organization, address, and contact information. Make sure to include their signature later.
4. Select the applicable option regarding the representative's licensing status. Complete one of the three provided options based on your situation, providing necessary information where required.
5. Move to Part C. This section details the extent of authorization. Confirm that the representative can access all information related to the claim.
6. In Part D, have the worker or employer sign to approve the authorization. This confirms that the representative is permitted to act on their behalf.
7. Review the completed form carefully to ensure all fields are accurately filled out, signing and dating where necessary.
8. Once finalized, save your changes, and prepare to either download, print, or share the form as required.

Complete the Wsib Authorization Form online to ensure proper representation and access to claims-related information.