Employers Quick Links
Forms
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please email general.inquiries@whscc.nl.ca or call 778-1000 or 1-800-563-9000 (toll free).
2017 Occupational Health and Safety Statement >   PDF</a></a> </td></tr> <tr> <td colspan=
Authorization - Claim Cost Contact >   PDF</a></a> </td></tr> <tr> <td colspan=
Authorized Representative (Form 13) >   PDF</a></a> </td></tr> <tr> <td colspan=
Clearance Request (Legal Party) >   PDF</a></a> </td></tr> <tr> <td colspan=
Connect - Application for Employers >   PDF</a></a> </td></tr> <tr> <td colspan=
Connect - Application for External Bookkeepers or Accountants >   PDF</a></a> </td></tr> <tr> <td colspan=
Connect - Application for Independent Health Care Providers >   PDF</a></a> </td></tr> <tr> <td colspan=
Direct Deposit Authorization >   PDF</a></a> </td></tr> <tr> <td colspan=
Early and Safe Return-to-Work Plan (sample included) >   PDF</a></a> </td></tr> <tr> <td colspan=
Election to Claim Compensation - Interjurisdictional >   PDF</a></a> </td></tr> <tr> <td colspan=
Employer Registration Application >   PDF</a></a> </td></tr> <tr> <td colspan=
Fatality Report (Form 7FR) >   PDF</a></a> </td></tr> <tr> <td colspan=
HA-07 - Approved Fee Structure >   PDF</a></a> </td></tr> <tr> <td colspan=
Householders' Coverage Application (Form A3) >   PDF</a></a> </td></tr> <tr> <td colspan=
Independent Operator Questionnaire - current year >   PDF</a></a> </td></tr> <tr> <td colspan=
Independent Operators Questionnaire - prior years >   PDF</a></a> </td></tr> <tr> <td colspan=
Injury Report - Employers (Form 7) >   PDF</a></a> </td></tr> <tr> <td colspan=
Injury Report - Workers (Form 6) >   PDF</a></a> </td></tr> <tr> <td colspan=
Lost Cheque (Form 45) >   PDF</a></a> </td></tr> <tr> <td colspan=
Non-Specific Incident Report - Employers >   PDF</a></a> </td></tr> <tr> <td colspan=
Optional Personal Coverage Application >   PDF</a></a> </td></tr> <tr> <td colspan=
Payroll Update >   PDF</a></a> </td></tr> <tr> <td colspan=
Pre-Authorized Debit (PAD) Agreement >   PDF</a></a> </td></tr> <tr> <td colspan=
Request for Internal Review >   PDF</a></a> </td></tr> <tr> <td colspan=
Supervisor Training Facilitator Guide >   PDF</a></a> </td></tr> <tr> <td colspan=
Witness Statement >   PDF</a></a> </td></tr> <tr> <td colspan=

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