Submit your injury claim form online
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Consider a WCB online account to submit injury claim forms quickly and efficiently and for quick log in for claim status updates. Learn more.
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Verification of Income Statement (REQ)
Document type
Downloadable forms
Customer type
Workers
Document description
Complete this form to confirm your income, including from Canada Pension Plan and personal tax credits.
application/pdf — 1.39 MB
Statutory Declaration – spouse (D34F)
Document type
Downloadable forms
Customer type
Workers
Document description
Complete this form to confirm your spousal relationship.
application/pdf — 158.01 KB
School Attendance Declaration (DSAQ)
Document type
Downloadable forms
Customer type
Workers
Document description
Use this form to let the WCB know if a worker’s dependant is enrolled in secondary or post-secondary education.
application/pdf — 1 MB
Direct Deposit Application: How to use Adobe Reader to fill your form
Document type
Downloadable forms
Fact sheets
Customer type
Care providers
Workers
Employers
Document description
Learn how to use Adobe Acrobat Reader to complete your direct deposit form.
application/pdf — 797.27 KB
Consent to Release of Personal Claims Information to Third Party
Document type
Downloadable forms
Customer type
Workers
Document description
Authorize the WCB to provide information on your claim to a third party.
application/pdf — 523.58 KB
Authorization to release information and documentation of an injured worker (WMROI)
Document type
Downloadable forms
Customer type
Workers
Document description
Authorize the release of information on your physical and mental health to the WCB.
application/pdf — 1.3 MB
Authorization Letter of Representation (WREP)
Document type
Downloadable forms
Customer type
Workers
Document description
Complete this form to authorize the WCB to discuss your confidential information with a representative.
application/pdf — 742.27 KB
Attendant time loss (ATL)
Document type
Downloadable forms
Customer type
Workers
Employers
Document description
If you need an attendant to attend a medical appointment, your attendant’s employer will need to complete and submit this form to be reimbursed for time lost from work.
application/pdf — 1.29 MB
Worker’s Initial Report of Injury (W1)
Document type
Downloadable forms
Online submission forms
Customer type
Workers
Document description
Use this form to report your work injury to the WCB and submit a claim or create an online account and submit it online.
Worker’s Election Form (WEF)
Document type
Downloadable forms
Customer type
Workers
Document description
Use this form to elect to claim compensation under Saskatchewan’s Workers’ Compensation Act, 2013.
application/pdf — 1.3 MB