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Worker's claim

Use this form to apply for benefits under the Loi sur les accidents du travail et les maladies professionnelles or to claim reimbursement of medical assistance costs, travel expenses or accommodation expenses. Workers or their representatives should return the duly completed and signed form by fax or mail to their regional CNESST office and remit a copy to their employer.

Online service for workers

La Réclamation du travailleur is an online service available from MonEspace CNESST that allows you to claim compensation or reimbursement. By using this service, your file can be processed more quickly.

CNESST will inform you of the status of your file by e-mail. The e-mails will invite you to consult the messages and documents filed in this secure area.

Fill in my claim

If you already have a MyEspace CNESST account, you must log in.

Use this form to apply for benefits under the Loi sur les accidents du travail et les maladies professionnelles or to claim reimbursement of medical assistance costs, travel expenses or accommodation expenses. Workers or their representatives should return the duly completed and signed form by fax or mail to their regional CNESST office and remit a copy to their employer.

Online service for workers

La Réclamation du travailleur is an online service available from MonEspace CNESST that allows you to claim compensation or reimbursement. By using this service, your file can be processed more quickly.

CNESST will inform you of the status of your file by e-mail. The e-mails will invite you to consult the messages and documents filed in this secure area.

Fill in my claim

If you already have a MyEspace CNESST account, you must log in.

Theme(s) :
Compensation
Sector :
Santé et sécurité du travail
Release date :
Type :
Form
Number of pages :
8
Language of publication :
English
Document number :

1939A

Notes :

To improve the process, file your request online (available in French only).