Application Complete!

Print a Copy for Your Records

Thank you for submitting your form to the Workers’ Safety and Compensation Board. Your form has been successfully submitted.

Your annual wage loss review needs an annual medical review form filled out and submitted by your health care provider. Please print the Wage Loss Annual Medical form and take it to your health care provider. We appreciate you completing and returning the forms on time for your review.

Once we have all your information, we'll review it. If we need more information, we'll get in touch with you.

If you have any questions about your submission or the process, please call us at 867-667-5645 or toll-free at 1-800-661-0443.