Application Complete!

Print a Copy for Your Records

Thank-you for submitting your online form to the Workers’ Safety and Compensation Board. It has been entered into our system.

A staff member will review your submission. If required, we will get in touch for clarification or more information.

If you have questions about your submission or the process, please call or email us at the following:

Phone: 867-667-5645 or toll free 1-800-661-0443

Email: [email protected]

Fax: 867-393-6279

If disclosure packages are not picked up within 30 days, they will be destroyed.
If the disclosure is still required, a second disclosure request (fee applies) has to be submitted.