Form 1824A Ontario PDF Details

Delving into the intricacies of the 1824A Ontario form unveils its significant role within the realm of workplace safety and insurance proceedings. Essentially, this form functions as a direction of authorization concerning claims, enabling workers or employers to designate representatives for managing their claim-related matters with the Workplace Safety and Insurance Board (WSIB). From indicating basic identification details, such as the worker's name and date of birth, to more complex legal aspects regarding representation authorization, the 1824A encapsulates critical procedural steps. Beneath its surface, the form asks for the representative's details including their legal status – whether they are a licensed paralegal, exempt from licensing, or otherwise. Significantly, it underscores the necessity for representatives to be recognized by, or exempt according to, the Law Society of Upper Canada's regulations since October 31, 2007, reflecting the legal profession's regulatory landscape in Ontario. Furthermore, the form outlines the extent of the representative's authorization and the conditions under which this authorization may expire. The 1824A Ontario form bridges the gap between legal representation and the administrative processes of the WSIB, emphasizing the importance of properly managing authorizations to ensure both workers' and employers' rights and responsibilities are effectively addressed. Its completion and submission, a seemingly straightforward task, become poignant in the broader context of workplace safety and insurance claims, where accurate representation can significantly impact the outcome of a claim.

QuestionAnswer
Form NameForm 1824A Ontario
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameswsib claim form 6, wsib forms 6, direction of authorization form wsib, wsib direction authorization form

Form Preview Example

Direction of Authorization - Claims

Claim Nos.

Worker name

Worker date of birth (dd/mm/yy)

Part A - Worker or employer directing authorization

Name

Address

Telephone

 

Worker

Employer/Company name

 

 

 

 

 

 

 

 

 

 

Employer

 

 

 

 

 

 

 

City/Town

 

 

 

Postal code

 

 

 

 

 

Fax

 

Language

 

 

 

 

 

English

French

Other (please specify)

 

 

 

 

 

 

 

Part B - Representative information

* Name of person and/or organization to be authorized

Address

City/Town

Postal code

Telephone

Fax

Signature

Please complete one of the following three (1, 2 or 3) as applicable:

1.My Law Society of Upper Canada or Application ID No.

2.I am / My organization is exempt from the paralegal licensing requirement (please check the exemption that applies to you):

In-house legal services provider or paralegal

Constituency assistant

Student legal aid services society

Office of the Employer Adviser

Acting for family or friend

Trade union

Office of the Worker Adviser

Other profession or occupation (please specify)

Articling student

 

Legal clinic

 

If you are unsure about your exemption status, please contact the Law Society of Upper Canada.

3. I am / My organization is excluded from the paralegal licensing requirements (please explain):

*This indicates the person and/or organization who will have authorization as set out on this form. Since October 37, 2007, the WSIB only accepts representatives who have applied for licensing by the Law Society of Upper Canada and whose names are included on the Paralegal Candidate Directory, or those who are exempt or excluded from the licensing requirement. For further information, please consult the Law Society’s website at www.lsuc.on.ca. Since October 31, 2007, the WSIB requires all representatives to provide information about their licensing status in order to represent parties before the Board.

Part C - Extend of authorization and expiration

The representative named above is authorized to represent the worker or employer in relation to the above noted claim and access all of the

WSIB claim-related information that the worker or employer would normally have access to. This authorization is deemed to be effective for an indefinite period and expires upon the receipt of written confirmation by the worker or employer, or upon the death of the worker.

Part D - Approval by Worker or Employer

By signing below, I authorize the person or company named in Part B to act as representative, subject to Part C noted above.

Name

Position/Title (if applicable)

 

 

Signature

Date (dd/mm/yy)

Contact accessibility@wsib.on.ca if you require this communication in an alternative format.

200 Front Street West, Toronto, Ontario, M5V 3J1

Toll free: 1-800-387-0750 | TTY: 1-800-387-0050 | Fax: 1-888-313-7373 | wsib.ca 1824A (02/20)

wsib.ca

Cancelling or changing an authorization

If is the responsibility of the worker and employer to ensure that authorization is properly managed. As such, amendment, rescindment or cancellation of any authorizations is their responsibility.

To change an authorization, a new Direction of Authorization form must be completed.

To cancel an authorization at any time, send a request in writing or by fax to the Claims Adjudicator responsible for the claim.

Additional information

If additional space is needed for information or addition claim numbers, please add a note on page 1 to indicate that there are additional pages and attach them to this form.

When submitting by fax, please transmit using only original documents.

This is not a request form. It is used solely to provide authorization for representation and access to claims-related information. If you need more information, contact the Claims Adjudicator responsible for the claim.

To avoid delays, please complete in full and print in black ink.

Send the completed and signed form to: Workplace Safety and Insurance Board 200 Front Street West

Toronto, Ontario M5V 3J1

OR fax to:

416-344-4684 or 1-888-313-7373

Upload forms and documents related to your claim at wsib.ca/upload

1824A

Page 2 of 2

How to Edit Form 1824A Ontario Online for Free

You may fill out eform 6 wsib easily using our PDFinity® PDF editor. We at FormsPal are dedicated to making sure you have the ideal experience with our tool by constantly adding new features and enhancements. With these improvements, working with our editor becomes easier than ever! Here is what you'll want to do to begin:

Step 1: Access the PDF doc in our tool by pressing the "Get Form Button" in the top area of this webpage.

Step 2: With this advanced PDF file editor, you may accomplish more than simply complete blank form fields. Edit away and make your documents appear great with customized textual content added, or adjust the file's original content to excellence - all comes with the capability to insert stunning images and sign it off.

Be mindful while filling in this document. Ensure each and every field is done properly.

1. While filling in the eform 6 wsib, ensure to include all of the necessary blanks within the relevant part. It will help speed up the work, making it possible for your details to be processed promptly and correctly.

Part number 1 in filling in wsib form 6 printable

2. Right after completing the last step, go to the subsequent part and enter all required particulars in these fields - My Law Society of Upper Canada or, I am My organization is exempt, Inhouse legal services provider or, Constituency assistant Office of, If you are unsure about your, I am My organization is excluded, This indicates the person andor, Part C Extend of authorization, The representative named above is, Part D Approval by Worker or, and By signing below I authorize the.

wsib form 6 printable conclusion process described (stage 2)

3. Completing Name, Signature, PositionTitle if applicable, Date ddmmyy, Contact accessibilitywsibonca if, and Front Street West Toronto Ontario is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Best ways to fill in wsib form 6 printable portion 3

Always be extremely careful when completing Name and Date ddmmyy, because this is the part where many people make mistakes.

Step 3: Just after going through your completed blanks, hit "Done" and you are good to go! Make a free trial option at FormsPal and get immediate access to eform 6 wsib - download, email, or edit from your personal account page. FormsPal is invested in the privacy of all our users; we ensure that all personal information coming through our system is confidential.

Form 1824A Ontario isn’t the one you’re looking for?

Related Documents