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Tips for Understanding Work Injury Claims

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Tips for Understanding Work Injury Claims

Don’t delay discussing your matter with us to find out how to build a winning case.

You don’t pay us unless we win your case. No Out of pocket expenses required.

Note: Your Privacy is Safe with us. We will never disclose your information to external parties.
WSIB-workplace injury

A work injury refers to any injury sustained in the workplace or while conducting company business that requires medical treatment. Such injuries may or may not result in missed work time. In Ontario, the Workplace Safety and Insurance Board (WSIB) administers a no-fault workplace insurance system for employers and workers.

Generally, an injured worker cannot sue their own employer, co-workers, or other employers for personal injury damages. However, there are specific situations where individuals have the right to pursue a work injury lawsuit, even if they are unaware of it. If you have suffered a workplace injury, it is crucial to consult an experienced work injury lawyer who specializes in this complex area of law. If you do have the right to sue, the compensation available through a civil lawsuit is often significantly higher than what WSIB benefits provide.

To understand your options, it’s important to know who qualifies for WSIB coverage. Eligibility requires that your injury or illness resulted from a work-related accident, and that you work within an industry covered by WSIB. There are two main categories of industries under WSIB coverage:

  • Schedule 1:

    • This includes nine industry classes such as forest products, mining, manufacturing, transportation and storage, retail and wholesale trades, construction, government services, and others. Schedule 1 covers the majority of workers and employers.
  • Schedule 2:

    • This category consists of self-insured industries that pay full claim costs plus administrative fees to WSIB. Examples include railways, federally regulated telephone and telegraph companies, navigation companies, provincial governments, municipalities, school boards, and more.
    • In addition to knowing your WSIB eligibility, it’s essential to understand when you have the right to file a lawsuit. Injured workers in Schedule 1 can sue Schedule 2 employers or workers. Conversely, Schedule 2 injured workers can sue employees or employers from either Schedule 1 or Schedule 2. Sometimes, workers have what is called a “concurrent” entitlement, which means they can choose either to file a WSIB claim or to sue for pain and suffering and other losses through a civil lawsuit. This choice is known as making an election.

For example, consider a truck driver involved in a motor vehicle accident caused by another driver who was off duty at the time. The truck driver can choose to claim WSIB benefits or file a lawsuit against the at-fault driver. Another example is a worker installing cable who slips and falls on icy steps; the worker may sue the property owner responsible for the unsafe condition while still pursuing WSIB benefits.

If you have been involved in a workplace accident and are unsure whether you have the right to sue, it is vital to act quickly. Generally, you must make an election within three months of the accident date by completing, signing, and submitting a WSIB Election Form. Prompt consultation with a knowledgeable work injury lawyer is critical to help you determine your rights, make the correct election, and maximize your potential recovery.

Another example is that of a worker who is installing cable services to a home, and slips and falls on icy steps. The worker is entitled to sue the at-fault property owners, but also retains his claims for WSIB benefits.

If you have been involved in a workplace accident, and you are not sure whether you might have the right to sue, you must act quickly. Generally, an election must be made within 3 months from the date of the accident. In order to make that election, you must complete, sign, and file a WSIB Election Form within that time limit. That is why it is so important to discuss this matter right away with an experienced work injury lawyer, who can help you determine whether you have the right to sue, and maximize your recovery if you have been involved in a work-related accident.

Disclaimer: The content of this article is a general guideline made available for educational purposes only and is not intended to be used as legal advice for the reader’s specific situation nor in general. By reading our blog and website content, the reader acknowledges the above and understands there is no lawyer-client relationship created between you and Himelfarb Proszanski through this content. To get specific legal advice, we encourage you to book a free consultation with one of our lawyers to clarify the legal aspects of your situation.

Timing is Critical. Help is Free.

Don’t delay discussing your matter with us to find out how to build a winning case.

You don’t pay us unless we win your case. No Out of pocket expenses required.

Note: Your Privacy is Safe with us. We will never disclose your information to external parties.

Timing is Critical. Help is Free.

Don’t delay discussing your matter with us to find out how to build a winning case.

You don’t pay us unless we win your case. No Out of pocket expenses required.

Note: Your Privacy is Safe with us. We will never disclose your information to external parties.

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Ellis St Croix
3 days ago
⭐⭐⭐⭐⭐ — Himelfarb Proszanski (HimPro) I came to HimPro after being wrongfully cut off my Long Term Disability benefits by Sun Life Financial — one of the most stressful and overwhelming experiences of my life. From the moment I signed my retainer, I felt like I actually had people in my corner. David Himelfarb is the real deal. His experience and strategic clarity gave me confidence at every stage. He told me the truth — even when it was hard to hear — and that honesty is what helped me make good decisions, including accepting the mediation outcome. He never oversold anything and he never let me down. Mena Brar was absolutely exceptional. She handled my documentation with professionalism, patience, and precision. I had an enormous amount of paperwork and she kept everything organized and on track. She genuinely cared about the outcome and it showed in every interaction. Selene — incredible communication and follow-through. Always responsive, always on point. She made sure I was never left in the dark. This team went up against a major insurance company and a complicated situation that they made easy they delivered. If you're dealing with a disability claim denial in Ontario, don't wait — call HimPro. I'm grateful to all three of them. — Ellis St. Croix
Ellis St Croix
3 days ago
Dear David, I just wanted to take a moment to say thank you — sincerely, and from the deepest part of my heart. When I came to you, I was worn down. The longest year of fighting a system that seemed designed to make people quit had taken everything out of me. I had the truth on my side, but I didn't know if that would ever be enough. You made it enough! You took my case, you believed in it, and over the course of a year you saw it through to the end with a level of care and skill that I will never forget. It has been a long year — but the right kind of long. The kind where you know the work being done matters. The settlement we reached means I can finally breathe again. I can clear the slate, rebuild, and step into something new and re invent myself — a life I can actually look forward to. That door would not have opened without you, and I want you to know that I understood that every single step of the way. You are genuinely exceptional at what you do. But more than that, you handled everything with integrity, with patience, and with real human decency. In my experience, that combination is rare. I was lucky to have you in my corner!! Thank you so very much, David. From the bottom of my heart — truly. With deep gratitude and respect, Ellis St. Croix
Ramzi Alkhouri
4 months ago
This had been an amazing service, they know what they are doing. They got me what I deserve, they have the experience and I was very satisfied with the results. I highly recommend my family and friends to HIMPRO.
Bryan Pilon
4 months ago
HIMPRO recently represented me for an insurance claim. They are a great firm, and more importantly, genuinely good people. I highly recommend them. From the beginning, they handled my case professionally and compassionately. Mena was amazing, her attention to detail and understanding made the process so much better. David and Silene also worked on my file and they were both honest, and highly knowledgeable lawyers. I felt fully informed and I was able to trust their judgement completely. My case was resolved in a very reasonable time given my circumstances. In my opinion, you will not be able to find a better group of people to handle your legal issues.
She Silva
5 months ago
I’m very happy with David and his team. Very professional and knowledgeable. Reputable law firm.
Patricia Gooden
5 months ago
Excellent communication skills from the Receptionists to my Lawyer and the Clerks. I will always appreciate all the support and good work that they are doing i am very grateful to have them supporting me, especially Dan Holland a very patience and professional person. Thank you.
Yoav Gurevich
5 months ago
Lauren and Alisha provided prompt and honest feedback when reviewing the terms of my employment contract. They consistently prioritized my what's best for my situation throughout the entire process. Highly recommended.
Phillip Dimopoulos
5 months ago
I am so grateful to have had this incredible team on my side after my wrist was broken in in a car accident, They guided me through the complex legal process and assured I received the maximum settlement possible. I discovered first hand that our legal system demands victims have experts guide and advise them if they have any hope for a fair resolution. A huge thank you to Silene, Ingrid, Spencer and the rest of the awesome team for all their support. Phillip
Miranda Beasley
5 months ago
Alex Kluchuk from HIMPRO worked hard to get me the best result possible. The firm is communicative and thorough, and I'm grateful I had them on my side. I would definitely recommend them!
Barbara Stewart
5 months ago
They helped me navigate my car accident claim. I am grateful that they made the process easy and that they were there to help every step of the way

HIMPRO BY HIMELFARB PROSZANSKI

HIMPRO is a leading law firm with full service personal injury and disability insurance lawyers. We have been recognized by Best Lawyers and assigned the highest rating, AV Preeminent, from Martindale-Hubbell. We provide a combined century of trial experience which has led to the successful settlement of over 10,000 cases with combined settlement value in excess of ¾ billion dollars. Our mission is to win your case. At HIMPRO by Himelfarb Proszanski we build winning cases. That’s the HIMPRO Advantage™.

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