WSIB FORMS

If the Employer’s Disability Claims Administration Office (DCAO) contacts you regarding your medical and/or accommodation you should ask for Union representation to be present for any discussions.

WSIB- Worker Exposure Form (Form 3958A) – Members should complete the Exposure Form which will be kept on file with WSIB to protect members from any future or long-term effects of COVID-19.
CLICK HERE

Employees Report of Accident Injury (ERAI) – All Members should complete the ERAI to report occupational Illness for COVID-19 to the Employer. It will also initiate a WSIB claim if work exposure leads to a positive case of COVID-19.
CLICK HERE


Health and Safety Concern Form – All Members should complete this form if you have any Health and Safety Concerns in your workplace.
CLICK HERE

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