COVID-19 Update

All WSCC offices are open with new health and safety measures in place. Clients are encouraged to book an appointment before visiting. Please go to our COVID-19 page for important service updates, and the COVID-19 Resource page for essential tools for your workplace.

Claims Forms for Employers

Claims Forms for Employers

Read each form carefully to ensure you accurately complete it.

Contact us at 1-800-661-0792 if you need assistance, or for more information.

Forms

To report an incident, injury or dangerous occurrence you must complete and submit an Employer’s Report of Incident.
 
Employer's Report of Fatal Injury
Electronic Fund Transfer
Employer's Continuity Report
Employer's Repetitive Strain Questionnaire