Information on how to file a WCB Claim

You have the right to apply for Workers Compensation benefits if you have been injured at work – no matter how minor your injury.  You must always follow the steps listed below:

How to file a WCB Claim

• You must notify your supervisor immediately after sustaining an injury.
• A “Green Card” (Notice of Injury Form 1) or its equivalent must be filled out and given to your supervisor.
• Your employer must fill out a report to WCB (Form 2) within five days.
• You must file a Workers Report of Injury – Form 3 (red form).  You should keep the information the same as you have already reported.
• When you go to a doctor, tell him exactly what happened – not just that you “got hurt at work”.  Your doctor must fill out a report to WCB (Form 4).

Be specific when completing the report.  Include information such as:

• Kind of machinery and weights of tools you use
• How you stand or sit at the job and how fast you have to work
• A photograph sometimes helps

Your joint health and safety committee and union should be notified.

You must report your injury to the WCB for a claim to be established.  WCB will then decide whether they will provide lost wages, medical benefits and drugs.  If you require any assistance, contact your union representative or UFCW’s WCB advocate, Rob Hilliard at 786-5055 or 1-888-832-9832. Or report your injury by telephone at 954-4100 or 1-800-362-3340 between 8 a.m. and 7 p.m. Monday through Friday.