Workers’ compensation intake form for Paraprofessionals, School Nurses, Occupational and Physical Therapists:

The employer is required to fill out this report within 10 days to notify the Workers’ Compensation Board of your work-related injury or illness. You should not participate in filling out this form. See the C-2: Employer's Report - Filing Procedure...

You must fill out this form to initiate your Workers’ Compensation claim. You should retain one copy, file a second with the Board, and provide a third to your legal representative.

Your doctor must fill out this form at regular intervals — usually every 4-6 weeks — during your convalescence. It is used to determine your level of benefits — so it is very important that your doctor fills it out carefully.

Use this form to claim out-of-pocket expenses related to your injury or illness.

Complete this form to claim disability benefits only if your Workers’ Compensation claim has been rejected.

Here is the form for an attending doctor to obtain medical authorization:

Complete this form and file it with your school payroll secretary within 10 days.

All pedagogues and paraprofessionals may use this form to donate sick time to a colleague. The recipient receives one day for every two days donated. Sick leave transfer rules are on page 2 of the form.