Application for Compensation and Report of Injury or Occupational Disease (Form 6)
If you have a work-related injury or illness, tell your employer and seek medical attention. You also need to contact us to apply for benefits and report your injury. Use our online form to submit your injury report, 24 hours a day, 7 days a week.
To learn more about reporting your injury, visit Workers: How to report an injury and what to expect.
Other ways to report:
- Call our Teleclaim team
- Download the PDF and mail or fax it to WorkSafeBC (this may result in longer processing times)
*Note: Due to technical limitations, the PDF form does not collect certain demographic information. Please submit your claim online or by phone to have the option to disclose your gender, sex assigned at birth, pronouns, and Indigenous identity.
2021-04-22 20:42:33