Workers' Advisers Office - Claim Forms


Form # Form date Form Name
6 (pdf)
R01/12
Application for compensation & report of injury or occupational disease
6A (pdf)
R06/08
Worker's report of injury or occupational disease to employer
7 (pdf)
R02/11
Employer's report of injury or occupational disease
8 (pdf)
R10/08
Physician's first report
9 (pdf)
R10/07
Employer's statement of return to work
11 (pdf)
R10/08
Physician's progress report
11A (pdf)
R05/11
Physician's account
267 (pdf)
R8/99
Physiotherapist's report and account