Occupational Health and Safety: Death Benefits following an Employment Injury | Commission des normes, de l'équité, de la santé et de la sécurité du travail

Applying for Death Benefits following an Employment Injury

You may apply for death benefits following an employment injury in either of the following ways, within the prescribed time limit.
 
Online Form
Proceed as follows:
  1. Use the Réclamation du travailleur online service (in French only) and submit the form electronically.
  2. Send the required documents by mail or by fax to the office of the Commission des normes, de l'équité, de la santé et de la sécurité du travail that serves your region (use the Nos bureaux online service (in French only) to find the address).
 
Call the Commission to find out which documents are required in your situation.
 
Paper Form
Proceed as follows:
  1. Complete the Worker’s Claim form.
  2. Enclose the required documents.
  3. Send the form and documents by mail or by fax to the office of the Commission des normes, de l'équité, de la santé et de la sécurité du travail that serves your region (use the Nos bureaux online service (French only) to find the address).
 
Call the Commission to find out which documents are required in your situation.
 
Note
Regardless of whether you use the electronic or paper version of the form, it is recommended that you keep a copy for your records. The electronic form must be printed out before it is submitted. You can also call the Commission to request that a copy be mailed back to you once the form has been.

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