Just Ask Joe Form

Personal Information...
If your injury or illness occurred between January 1, 1990, and December 31, 1997, you've come to the right place. We want to give you the most accurate response possible and ensuring our answer to your question is based on the appropriate legislation is extremely important. Please be as thorough as possible with your responses to the questions in the questionnaire as this will impact the accuracy of our answers.

If you require additional time to complete your questionnaire, click the "Save to fill later" document icon at the bottom of the form and you will receive an email with a link to take you back to the form when you're ready to finish completing it.
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
example@example.com
Date of birth *

Month Day Year
Date
Date of injury or illness

Month Day Year
Date
Claim Number
Provide a brief description of injury or illness (example; area of injury):

0/300

This section deals with the Non-Economic Loss Benefit...
Were you granted a Non-Economic Loss award (NEL) for your injury or illness?
If yes, what is the percentage of your NEL award?
Have you had a NEL Redetermination? If yes, please provide the date of your redetermination?

Month Day Year
Date
If yes, did you receive an increase?
Has your condition deteriorated since your last NEL redetermination?
If yes, have you seen your health care provider regarding your deterioration?

This section deals with the Future Economic Loss Benefit...
Were you able to return to your pre-accident job following your injury?
If no, were you provided with Labour Market Re-entry Services (LMR)?
Are you in receipt of a Future Economic Loss (FEL) award?
If yes, was your Future Economic Loss (FEL) benefit calculated based on your actual earnings or deemed earnings by the WSIB?
When was the final review of your FEL benefit?

Month Day Year
Date
Was your FEL award reduced, increased or eliminated following the final review? Please provide a brief explanation of what the WSIB's decision was.

0/500

This section deals with Reconsiderations & Appeals...
Did you request a reconsideration of the decision regarding your final FEL review?
If yes, what was the outcome of the reconsideration?

0/500
Did you appeal the WSIB’s decision regarding your final FEL review, at the WSIB's Appeals Division?
If yes, please provide a brief explanation of the Appeals Resolution Officer's decision, including the date of the decision.

0/500
Did you appeal the Appeals Resolution Officer's decision to the Workplace Safety & Insurance Appeals Tribunal (WSIAT)?
Did the Workplace Safety & Insurance Appeals Tribunal (WSIAT) grant your appeal?
Ask your question here. In the following section you will be able to upload a document you would like us to review in responding to your question.

0/500
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By signing this questionnaire, I agree and understand that I am not being provided with legal advice and that any opinions provided by any of our advisors in connection with my WSIB claim are solely based on his/her direct experiences derived from many years of providing paralegal services for injured and ill workers in Ontario. I also agree and understand that any opinions provided are solely based on the information and the accuracy of said information provided by me in this questionnaire.
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Claims January 1, 1990 - December 31, 1997