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Application for Compensation and Report of Injury or Occupational Disease (form 6)

You can file your worker incident/injury report (Form 6) online. You can create an online services account so you can log on later to see more details about your claim.

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. Even though your employer will contact us, it's important that you contact us too.

You can report a workplace injury by either:

  • Calling Teleclaim
  • Submitting online
  • Filling out a PDF and mailing or faxing it to WorkSafeBC


Submit Online
Publication Date: Jun 2015 File type: PDF (235 KB) Asset type: Form Form: 6