Please Wait
Claims
New Employee Claim
Instructions
Select a Claim Type below and type in your Company ID. Once complete, click Submit to proceed.
Submission failed due to the following:
HR Contact
:
[#(?object=contact;criteria=rolename='ES - HR Contact')~firstname~ ~lastname~ * ~email~ #]
Claim Type
:
STD
STD-WI
STA
STD-WI EI Carve Out
EI
LTD
WCB-Lost Time
WCB-Medical Aid
Additional Task
Work Accommodation
LOA
SAAQ
WorkInjury
Vaccine Exemption
COVID Impact
Company ID
:
Employer contact Information
Expanded
...
First Name
:
Last Name
:
Email
:
Phone
:
Group 4 (Department/Banner/District Manager)
:
