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Worker Forms 

In order to better serve our stakeholders, we have begun the process of converting our forms to PDF editable. PDF editable allows you to complete the form online, and then print, sign, and submit the form to us. You still have the option to print the form and complete it by hand. Please read each form carefully to ensure you complete the form in its entirety. Please contact us at 1-800-661-0792 if you need assistance, or for more information.

We will add PDF editable forms to the website as they become available.

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You cannot save completed versions of a form on your computer with Acrobat Reader. To save completed forms, use CutePDF (free download) , or print an extra copy, for your records.

Injured at Work - What to Do

  • Get first aid help if you need it;
  • Tell your employer right away;
  • Go to a doctor or nurse; your employer must provide transportation to the closest doctor, hospital, or nurse. It is very important to tell the doctor or nurse you were hurt at work;
  • Complete and submit a WSCC Claim: Worker's Report of Injury form as soon as possible. Contact your employer and the doctor or nurse to make sure they send their reports to the WSCC;
  • Write down everything that happens; and
  • Keep all of your injury-related receipts; they may qualify for reimbursement in the future.

Your Safety Responsibilities

  • Do your job safely and follow health and safety rules;
  • Ask for training if you need it;
  • Use personal protective equipment when required;
  • Report injuries to your employer and to the WSCC; and
  • Report first aid treatment.

Your Employer's Safety Responsibilities

  • Provide a safe workplace;
  • Provide equipment and machinery of a safe design and in safe condition;
  • Appoint competent supervisors who set performance standards and ensure safe work procedures are followed;
  • Inform workers of their rights, responsibilities, and duties;
  • Provide adequate job training;
  • Train workers on any potential hazards, how to safely use, handle, store, and dispose of hazardous substances, and how to handle emergencies;
  • Supply personal protective equipment and make sure workers know how to use equipment safely and properly;
  • Support and participate in an Occupational Health and Safety Committee;
  • Meet first aid standards; and
  • Report workplace incidents and injuries to the WSCC (as required  by legislations).