WSIB grants program application form - 0143A - Application form instructions

Sep 12, 2026

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WSIB Grants Program application form 0143A (11/19) collects project lead and research team details, including contact information, affiliations, academic background, publications, current grants, and relevant workers compensation experience. The form requests project information such as grant priority areas, project title, keywords, support period, total amount requested, prior application status, resubmission status, and how the applicant learned about the program. Instructions emphasize plain language, clear context, allotted space limits, and submission eligibility and completeness for review.

LanguageEnglish

CategoryForms

FormatPDF

Pages11

Reading Time4 min

AccessFree to download

Cover page

Proposal checklist

Section 2: Applicant qualifications

Section 3: Research team

Section 4: Proposal overview

Section 5: Proposal outline

WSIB grants program application form-0143 Cover page | Project lead | | | | --- | --- | --- | | Last name | First name | Title | | Institution | Faculty/department | Role | | Telephone | Fax | Email | | Project information | | | | --- | --- | --- | | Type: | | Grant Priority Area(s): If you have selected more than one, clearly identify one primary priority area. Up to 2 secondary priority areas are allowed. | | | Training
Research | | | Project title | | | | Keywords: (up to 5 maximum) | | | | Period of support requested: (maximum allowable duration is 2 years)
Year(s) Month(s) | | | | Estimated Total Amount Requested: (maximum allowed is $200,000 per year) | | | | Have you previously applied to the WSIB Grants program?
Yes No If yes, which year(s) did you apply in? | | | | Is this project a resubmission?
Yes No | | | | How did you hear about the WSIB Grants Program? WSIB website
WSIB Stakeholder Newsletter
Twitter (Social Media)
News coverage (source: )
Previously received a WSIB grant
Colleague
Other (please describe) | | | 200 Front Street West, Toronto, Ontario, M5V 3J1 Toll free: 1-800-387-0750 | TTY: 1-800-387-0050 | Fax: 1-888-313-7373 0143A (11/19) Page 1 [wsib.ca](wsib.ca) Application form instructions Please review the Proposal Instructions on the Workplace Safety and Insurance Board (WSIB) website before completing this form. The instructions include important information about submitting a proposal to the WSIB Grants Program. At this stage, we require that all applicants use plain language when filling out this application. Ensure all scientific concepts, acronyms, and terms are defined or substituted when possible. Do not forget to provide appropriate context and tangible examples, where applicable. All answers must fit within the text box corresponding to each question and cannot exceed the allotted space. Your proposal will be assessed for eligibility and completeness. This checklist is designed to help you keep track of your progress to ensure that all required information has been submitted. | Proposal checklist | | | --- | --- | | Section | Complete | | 1. Cover page | | | 2. Applicant qualifications | | | 3. Research team | | | 4. Proposal overview | | | 5. Proposal outline
• Rationale and objectives
• Methodology, approach and evaluation
• Outcomes
• Data request
• Project Timelines (Template)
• Project cost (Template) | | | 6. Relevance | | | 7. Signature and declarations | | | 8. Appendices (up to 3 pages if required) | | [wsib.ca](wsib.ca) | Section 2: Applicant qualifications | | --- | | Provide a brief biography of the Project Lead as it relates to this proposal, including:
Current affiliation(s):
Academic background: (CVs are not required at this time)
Publications and conference presentations over the past 5 years: (list only the most relevant items; 5 item maximum) 1.
2.
3.
4.
5.
Current grants held in regards to this proposal: (include a description of any overlap between current and potential future funding and the proposed WSIB project)
Relevant experience as it relates to the workers compensation system: | [wsib.ca](wsib.ca) | Section 3: Research team | | | | --- | --- | --- | | Identify all team members involved in your project. If applicable, include partners or collaborators you plan to work within this section. You may attach an additional page if required. Describe who they are, what they will contribute to your project and how their efforts will help you to meet your timeline. Identify any dependencies between you and your partners in executing the grant activities. | | | | 1.
2.
3.
4.
5. | Full name | Project role | | | Institution | Position at institution | | | Telephone | Email | | | Responsibility on project | | | | Full name | Project role | | | Institution | Position at institution | | | Telephone | Email | | | Responsi

FAQs

What information is required on the cover page of the WSIB Grants Program application form?

The cover page collects the project lead’s name, title, institution details, role, and contact information such as telephone, fax, and email.

What does the form ask for in Section 2 (Applicant qualifications)?

Section 2 requests a brief biography of the project lead tied to the proposal, including current affiliations, academic background, key publications and conference presentations from the past 5 years, current grants and potential overlap, and relevant experience regarding the workers compensation system.

What must be included in the proposal overview and outline sections?

Section 4 requires clear answers in five sentences or less for the problem, how the research will be done, and how success will be measured, plus a short paragraph on importance to the WSIB and contribution to/improvement of the workers compensation system. Section 5 asks for the project purpose, the knowledge gap, why it needs addressing, specific objectives, and appropriate methodology details tailored to a research or training proposal.

Sep 12, 2026

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