A Message from Your Health & Safety Officer
WSIB Worker Exposure Incident Form
If you have been notified that you may have been exposed to Covid-19 in the workplace, we encourage you to fill out the WSIB Worker Exposure Incident form (3958a) and send it directly to the WSIB as soon as possible to begin building a potential claim (*Note: this does not go to the employer!).
This isn’t the WSIB claim itself, but it starts a paper trail before you do fill out a Form 6 after you’ve been diagnosed with symptomatic Covid-19.
https://www.wsib.ca/sites/default/files/2021-04/3958a_workerexposureincidentform.pdf
This form is also useful for any type of exposure apart from Covid-19 (chemical or biological).
If you need help filling it out, contact Mikko Kivisto – healthandsafety@cupe4207.org