Get Ontario 0006A 2013-2021
Your supervisor or any of your co-workers, give us their names & positions. Name Position 1. 2. 12. The Workplace Safety and Insurance Act requires your employer to give you a copy of the Employer's Report of Injury/Disease (Form 7). Did you receive a copy of the Form 7? yes no The Workplace Safety and Insurance Act requires you to give a copy of this report (Worker's Report of Injury/Disease - Form 6) to your employer. Give your Health Professional your WSIB Claim number. D. Health Care .
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