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| The Workplace Safety and Insurance Board
Telephone:
(416) 344-1000
Toll free:
1-800-387-5540
Ontario Toll free:
1-800-387-0750
TTY:
1-800-387-0050
Fax:
416-344-4684 or
1-888-313-7373
WSIB Media Relations Contact
Telephone:
(416) 344-4202
Fax: (416) 344-4800
Head Office
200 Front Street West
Toronto, Ontario M5V 3J1 |
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Adjudication Support Documents
Introduction
The Adjudication Branch was developed to provide strategic direction for the Adjudication Program with a direct line of sight to workers and employers in order to improve the consistency and timeliness of decisions and service.
We regularly collaborate with internal business partners to identify adjudication issues that need additional clarification. We also provide measurement, analysis, and business intelligence that enable continuous program development. Together with stakeholder consultations, this information is used to develop supplemental resource materials to assist WSIB decision-makers in effective case management.
In order to ensure transparency in decision-making, the Adjudication Branch documents are readily available for download. In addition, these items have been organized in the categories listed below.
Adjudicative Advice
The "Adjudicative Advice" documents provide WSIB decision-makers with assistance and direction when dealing with issues of ambiguity in which no resource materials are available.
Best Approaches Guides
A Best Practices Working Group and the Fair Practices Commission have identified adjudication issues that would benefit from more clarity and consistency. The Adjudication Branch develops Best Approaches Guides to assist decision-makers in applying key adjudication principles, processes and practices.
Health Care Advice
The "Health Care Advice" documents provide WSIB staff members with clinical and adjudicative decision support information when dealing with questions related to the purchase of health care.
Training in Policy Summary (TIPS) Newsletters
The TIPS newsletters were prepared by the Learning and Development Branch in order to provide adjudication staff with practical examples of the application of specific policies.
We write these documents carefully to ensure they support correct and consistent application of policy contained in the Operation Policy Manual.
Adjudicative Advice Documents- A Code of Conduct for Representatives Dealing with WSIB Situations (164k, pdf)
- A Worker is a Worker (299k, pdf)
- Calculating Loss of Earnings/Future Economic Loss (LOE/FEL) – Minimum Wage [For decisions prior to July 1, 2007] (352k, pdf)
- Commutations and FEL/LOE Benefits over 10% (109k, pdf)
- Dependent Contractors - Determining Average Earnings (171k, pdf)
- Determining Maximum Medical Recovery (MMR) Time (171k, pdf)
- Employers' Initial Accident Reporting Obligations - Clarification (171k, pdf)
- Escalation Protocol for Obtaining Outstanding Medical Information (177k, pdf)
- FEL Benefit and Additioinal Wage Loss Relating to Health Care Appointments (169k, pdf)
- Initial Entitlement (Disablement) (169k, pdf)
- Non Economic Loss (NEL) Reconsideration vs. Redetermination (107k, pdf)
- Operating Area - Requests for Reconsiderations of Appeals Branch Decisions (101k, pdf)
- Permanent Impairment Guide (Non-Economic Loss [NEL]) Rating for Acromioplasty (167k, pdf)
- Permanent Impairment (NEL) Rating Guideline for Splenectomy (178k, pdf)
- Practice Guidelines for Adjudicating Recurrence Claims (268k, pdf)
- Practice Guidelines for Ordering Loss of Earnings (LOE) Benefits Arrears Under WSIA (162k, pdf)
- Pre-bill 99 Vocational Rehabilitation(VR) Plans and Commitments - Clarification (239k, pdf)
- Requesting Functional Capacity Evaluations (106k, pdf)
- Retrospective Return to Work (RTW) Situations (167k, pdf)
- Students, Apprentices and Learners - Questions and Answers (400k, pdf)
- Understanding the National Occupational Classification (NOC) System (236k, pdf)
- Using the Physical Demands Information Form (PDIF) (103k, pdf)
- Workers with Multiple Claims (174k, pdf)
Best Approaches GuidesHealth Care AdviceTIPS Newsletters | | |
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