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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.

Thème(s) :
Indemnisation
Secteur :
Santé et sécurité du travail
Date de parution :
Type :
Formulaire
Nombre de pages :
8
Langue de la publication :
Anglais
Numéro du document :

1939A

Notes :

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