Get Ontario 0006a 2020-2025

This guide provides a comprehensive overview of how to successfully fill out the Ontario 0006A form online. This form is essential for workers reporting injuries or diseases sustained in the workplace and includes a range of necessary information to ensure accurate reporting and processing.

Follow the steps to complete the Ontario 0006A online.

1. Click the ‘Get Form’ button to obtain the Ontario 0006A form and open it in your preferred document editor.
2. Begin with section A, which is for worker information. Enter your last name, first name, and Social Insurance Number. Fill out your address details, including telephone numbers, job title, and the date you started with your employer.
3. Proceed to section B for employer information. Enter the company/employer name and their address. Include your immediate supervisor’s name and the company telephone number.
4. In section C, detail the accident or illness dates and specifics. Note the date and hour of the accident or when you became aware of the illness, alongside when it was reported to the employer. Specify who you reported it to and provide their telephone number.
5. Continue to provide thorough descriptions of the type of accident or illness, including if there were any prior claims or if you have experienced similar injuries before.
6. In section D, provide healthcare information including where you received treatment, the name of health professionals, and any medications prescribed. Note if you communicated with your employer regarding your treatment.
7. Section E requires information about lost time and work return status. Indicate whether you returned to work or lost any pay due to the injury. Provide relevant dates and the nature of your return to work.
8. In section F, provide your earnings information, including your rate of pay and usual hours per week. Declare if any employer benefits were received during your time off work.
9. In section G, read the declarations carefully. You must sign and date the form to confirm that the information is accurate and truthful. If under age 16, a parent or guardian must also provide their signature.
10. Once completed, review all sections for accuracy. You can save changes, download, print, or share the form as required to submit it properly.

Complete your Ontario 0006A form online today to ensure your injury or disease claim is processed efficiently.