Order form (0688A)

0688A (03/19)

200 Front Street West, Toronto, Ontario, M5V 3J1Toll free: 1-800-387-0750 | TTY: 1-800-387-0050wsib.ca

Forms Quantities

3606C, In All Cases of Injury / Poster Medium - 11” x 17” - 1 each

3607A, In All Cases of Injury / Label - English (A) - 4¼” x 6¾”

3607B, In All Cases of Injury / Label - French (B) - 4¼” x 6¾”

4011C, Return Envelope - 500 per pack

0087A, Injured At Work Brochure - English (A) - 25 per pack

0087B, Injured At Work Brochure - French (B) - 25 per pack

0087E, Injured At Work Brochure - Simplified Chinese (E) - 25 per pack

0087E, Injured At Work Brochure - Traditional Chinese (E) - 25 per pack

0087L, Injured At Work Brochure - Polish (L) - 25 per pack

0087M, Injured At Work Brochure - Portuguese (M) - 25 per pack

0087N, Injured At Work Brochure - Punjabi (N) - 25 per pack

0087P, Injured At Work Brochure - Spanish (P) - 25 per pack

0087R, Injured At Work Brochure - Tamil (R) - 25 per pack

0087Q, Injured At Work Brochure - Vietnamese (Q) - 25 per pack

Please email order to: Printservices@wsib.on.ca Please type or print your full name and address: Attention of:

0455C, First Aid Requirements (Regulation 1101) - 1 each

0082C, In All Cases of Injury / Poster Large - 18” x 24” - 1 each