If you’ve been hurt at work, it’s your right to report your injury to your employer and to us.

Option 1

If you're ready to report your workplace injury, fill out this online worker report of injury form. It’s the fastest and easiest way to let us know about your injury.

Option 2

If you feel like you or someone you know has been pressured not to report an injury, complete the form below. Please complete all fields as accurately as possible to help us follow up on your concern.

Note: * indicates a required field

Your contact information


This information is collected under Section 33 (c) of the Freedom of Information and Protection of Privacy Act for the purpose of injury reporting.

If you need help completing this form, you can give us a call at 780-498-7614.