If you are injured or become ill as a direct result of your job, workers' compensation benefits pay for medical care, as well as some wage replacement if you are unable to work (or if you are earning less money because of the injury).
To get these benefits, you must file a claim with the Workers' Compensation Board.
When to File
You must notify your employer within 30 days, but it is best to do so as soon as possible. If 30 days pass and you have not notified your employer, you may lose your rights to workers' compensation benefits.
As soon as possible, you should also file an Employee Claim (Form C-3) with the Board; this is how you notify the Board of your injury. Form C-3 must be filed within two years of the accident or within two years after you knew (or should have known) that you contracted a disease or condition due to the nature of your employment. If you are filing a claim for an occupational disease, see the reporting requirements for an occupational disease.
If you have injured the same body part before, or had a similar illness, you must also file the Limited Release of Health Information (Form C-3.3).
How to File
To complete Form C-3, you will need the following:
- Your employers name and address
- The dollar amount of gross wages (before taxes) paid per pay period
- The names and addresses of any other employers you worked for at the time of your injury or illness
- The name and address of the doctor or hospital that provided your initial treatment
Ready to file?
- Download the Employee Claim (Form C-3)
- Complete Form C-3 and print it.
- Paper forms may be mailed to The Board (or emailed as a digital file).
- If you do not have access to a computer, visit the nearest Workers' Compensation Board Office to file a claim.
If you have questions about filing an Employee Claim (Form C-3), please call Customer Service and a Board representative will assist you.
Repeat Injury or Illness
If you have injured the same body part before, or had a similar illness, you must also file a Limited Release of Health Information (Form C-3.3).
Track Your Claim With eCase
You can use eCase, the Board's electronic case folder, to view information the Board has received about your claim or check the status of your claim.
Contact the Board
Customer Service Toll-Free Number: (877) 632-4996
Monday through Friday - 8:30 a.m. to 4:30 p.m.
Language Assistance Services
Please call us at (877) 632-4996 for free language assistance services.
Llámenos al (877) 632-4996 si necesita ayuda gratis en su idioma.
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ביטע אָנקלינגען (877) 632-4996 פֿאַר פֿרײַ שפּראַך הילף באַדינען.
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ي پر کال کریں۔ 632-4996 (877) زبان سے متعلق معاونت کی مفت خدمات کے لیے براہ مہربانی ہمیں
Printable Claimant Quick Start Guide (Claimant Information Packet)
The Claimant Quick Start Guide (Claimant Information Packet) is provided to an injured worker immediately after a work-related accident or exposure. The packet contains information regarding your workers’ compensation benefits.