Potential Canada Post disruption
Alert message
AVOID PAYMENT DELAYS: Potential Canada Post mail disruption could delay mailed WCB customer payments, forms and letters
Get ahead of the potential Canada Post mail strike by signing up for direct deposit to receive automatic payments. To receive your payment, fill out a direct deposit form and send it to the WCB by email or fax.
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Psychological injuries
Alert message
All workers covered by The Workers' Compensation Act, 2013 are eligible for compensation and medical treatment if they suffer a psychological injury from being directly exposed to a traumatic event, a series of traumatic events or a substantial work-related stressor as part of or in the course of their employment. This coverage applies to all industries and occupations covered by the Act. Find out more.
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Worker’s Medical Expense Statement (WME)
Document type
Downloadable forms
Online submission forms
Customer type
Workers
Document description
Use this form to be reimbursed for medical expenses related to your work injury.
Worker’s Expense Statement (W6)
Document type
Downloadable forms
Online submission forms
Customer type
Workers
Document description
Use this form to be reimbursed for expenses for your work-related injury.
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