Get Fax 306

Filling out the Fax 306 form is a crucial step for those seeking to report noise exposure and related hearing difficulties for a Workers' Compensation Board claim. This guide provides clear and concise instructions to assist users in completing the form online effectively.

Follow the steps to fill out the Fax 306 online accurately.

1. Press the ‘Get Form’ button to access the Fax 306 form and open it in the editing interface.
2. Begin by entering your personal details at the top of the form. This includes your name, WCB claim number, and contact information.
3. Provide your date of birth using the format MM/DD/YYYY, and include your Social Insurance Number.
4. Answer the question regarding any previous claims with other Workers' Compensation Boards by selecting 'Yes' or 'No.' If you select 'Yes,' specify where and when the claim was made.
5. List your current employer's information, including the type of business, location, contact number, employment dates, job duties, equipment used, exposure to noise, type of hearing protection, and your hearing condition as of now.
6. In the sections for previous employers, repeat the same information as in step 5 for each employer, going back in time. You may attach additional sheets if necessary.
7. Indicate when you first noticed hearing difficulties and whether the change was sudden or gradual; provide an explanation if sudden.
8. Answer medical history questions regarding any past ear-related issues or conditions, including ear infections or surgeries.
9. Complete sections that inquire about your experiences with hunting, gun handling, and the use of personal protective equipment.
10. Submit additional information about any family history of hearing difficulties or medications taken.
11. Add your signature and the date at the end of the form, ensuring all fields are completed as required.
12. Once completed, save your changes, and choose to download, print, or share the form as needed.

Start filling out the Fax 306 form online today to ensure your claims are processed efficiently.