Get Canada Form 6a 2004-2025

Filling out the Canada Form 6A is an important step for workers reporting injuries or occupational diseases. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring that you submit a comprehensive and accurate report.

Follow the steps to successfully complete your Canada Form 6A online

1. Click the ‘Get Form’ button to access the form and open it in your online editor.
2. Begin by filling in your personal information. Enter your last name, first name(s), middle initial, and mailing address in the appropriate fields. Don't forget to include your city and postal code.
3. Next, provide details about your workplace. This includes the name of your employer as registered with the Board, the location of the plant or project where the injury occurred, and the type of business.
4. Fill out the contact information, including your telephone number and social insurance number. Add your date of birth, weight, height, and marital status in the designated spaces.
5. In the following section, document the specifics of your injury. This includes the date and time of the incident, where you first reported the injury, if first aid was received, and the names of any witnesses.
6. Provide a detailed description of the incident that caused your injury or disease. Include relevant factors such as machinery or substances involved.
7. Review your information carefully. Ensure that all questions are answered to prevent delays in processing your claim. If you are unsure about an answer, write ‘don’t know’ in the corresponding space.
8. Confirm your understanding of the declaration statement regarding the accuracy of your information, and then sign and date the form.
9. Once you have completed the form, you may save your changes, download it, print it, or share it as needed.

Ensure that you complete and submit your documents online to facilitate your claim process.