Recurrence Claim

If you recover from a workplace injury and return to work, and your initial injury causes further disability, you may reapply for benefits. To submit a recurrence claim:  

  • Tell your supervisor what happened, where it happened and the names of any witnesses. You should do this immediately and before you leave the worksite.
  • Seek medical help and tell your doctor of the recurrence of your work-related injury. Your doctor will provide you with a copy of a completed Physician’s Report (Form MD).
  • Bring a copy of this report to your employer so they can complete an Employer’s Report of Injury (Form 7).
  • Submit a Worker’s Report of Injury (Form 6). A spouse, relative or friend can help you complete the form but you must sign the report.

As with your initial work-related injury, we will review your Worker’s Report of injury (Form 6), Employer’s Report of Injury (Form 7) and Health Care Provider Form (MD, PR or 8/10c) and make a decision on your claim.

If you would like for us to discuss your claim with your spouse, family member or other representative (such as a friend or union representative), please complete section G of the Form 6 or the Authorized Representative Consent (Form 13).