Claims FAQ for Workers

Claims FAQ for Workers

A worker is to fully participate in the return to work program, when they are medically fit to do so. This includes accepting suitable work when it is available. In cases where an employer can demonstrate that they have modified or light duties available for a worker, but the worker has quit despite being medically cleared to work, their benefits will terminate because they are not accepting... Read more »
To learn more about the claims process, review the Claims Process Map.
A worker follows up with their doctor every two weeks to monitor their recovery. This is to ensure that a worker is receiving the appropriate treatment. It allows the adjudicator and/or case manager to make referrals to other health care providers in a timely manner.  Health care providers must complete a ... Read more »
Objective evidence refers to visible, measurable findings obtained by a medical examination, tests, or diagnostic imaging. Someone other than the injured worker must be able to see or feel the evidence. Examples of objective evidence include a broken leg or an abrasion. 
A Permanent Medical Impairment (PMI) is any permanent loss or abnormality of psychological, physiological, or anatomical structure or function.
If you disagree with a WSCC decision, you may request a review. There are two levels to our appeals process – the Review Committee and the Appeals Tribunal. The Review Committee The Review Committee is the first level of appeal. If you disagree with a decision, you may request a review. Click here for... Read more »
No, the law says employers must report workplace incidents to the WSCC, even if you do not lose time from work.
No, the WSCC pays benefits to workers who suffer workplace injuries and diseases. Legal action is not an option.
Your rate of compensation depends on your employment situation. If you are a permanent worker, the WSCC needs to know your gross earnings at the time you were hurt. If you are a seasonal or term worker, or have personal optional coverage, the WSCC needs to know your gross earnings for the 12 months prior to your injury. You must produce one or more of the following documents:
  1. Pay Stubs...
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Most people receive their first compensation payment within 25 days of their incident. The WSCC pays from the first day of work you missed because of your injury.  The WSCC does not pay you for the day of the incident.
No. You do not pay Income Tax, Canada Pension, or Employment Insurance premiums on your compensation payments. The WSCC sends you a T5007 at tax time and you report your WSCC earnings on your income tax form.
You get paid every two weeks. If your employer pays you while you cannot work, the WSCC sends your compensation benefits to your employer, not you. 
How long a worker receives compensation payments varies from case-to-case. The WSCC uses medical reports from a doctor, nurse, or other specialist to determine entitlement to ongoing compensation benefits.
The WSCC offers three payment options:
  1. By cheque, mailed every two weeks;
  2. By cheque, for pick-up at our Yellowknife office; or
  3. By direct deposit into your bank account.
If you choose the direct deposit option, you must submit an encoded personalized cheque marked VOID, or your bank can complete a preauthorization form. Your branch can submit the completed... Read more »
Yes. If you are under 18 years of age, injured at work, and we accept your claim, the WSCC pays you directly, or can send your payments to your parent or guardian.
Maybe. You must talk to your WSCC Adjudicator or Case Manager if you are working or planning to work. 
No.  Although you may use sick leave while you’re waiting for the WSCC’s decision on your claim, your employer must give back your sick leave days if we accept your claim. WSCC reimburses your employer for your sick leave days once accepted.
Yes. You must show the industrial disease resulted from your work. 
Yes. If you’re working for a company operating in the Northwest Territories or Nunavut and they send you to work outside of either territory for a period less than six months, you can apply for compensation benefits. Depending on the territory or province where the incident takes place, you can choose to claim compensation under that territory or province, or in the Northwest Territories or... Read more »
Yes, but you must advise the WSCC. We decide if we can continue your compensation payments while you are away from Canada.
Yes. You receive pay for time away from work, and any related expenses, such as travel.
If related to a worker’s injury, the WSCC may pay for hospital expenses, health care costs, prescriptions, rehabilitation, dental treatment, mobility aids, and eyeglasses. In addition, we may provide clothing, transportation, and living allowances.
Benefits are not taxable in Canada, and employers should not report them on a worker’s annual T4 statement of earnings. Benefits are included in the total income for some calculations. We issue T5007 information slips that workers include in their tax returns. Any amount that the WSCC reimburses you for worker benefits,must be deducted from their T4 amounts.