Forms
Application for Review of Injury Claim Decision
Injury Claims
Appointment of Representative and Authorization for the Release of Information
Injury Claims
Authorization for Release of Health Care Information
Injury Claims
Authorization for Release of Health Care Information for Fatality Claims
Injury Claims
Authorization to Communicate with Manitoba Public Insurance by E-mail
Injury Claims
Authorization to Release Injured Child’s Information
Injury Claims
Consent to Act as Guardian
Injury Claims
Direct Deposit Form
Injury Claims
Employer’s Verification of Earnings
Injury Claims
Personal Injury Protection Plan Subrogation Indemnity Agreement
Injury Claims
Primary Health Care Report
Injury Claims
Record of Medical and Personal Expenses
Injury Claims
Record of Travel Expenses
Injury Claims
WCB Indemnity Agreement & Notice to Elect PIPP Benefits
Injury Claims
Withdrawal of Consent Form
Injury Claims