All 36 verified Saskatchewan forms: WCB reports, SGI driver and injury forms, SAIL health programs, Saskatchewan Blue Cross, 3sHealth and accessible parking.
Saskatchewan has 36 verified forms in this library, all in English, and 21 come from WCB Saskatchewan. Physicians start with the Physician's Initial Report (PPI) for every work-related injury, including no-time-loss injuries, then send the Progress/Discharge Report (PPP) when things change. SGI handles auto injury claims but publishes no standard practitioner report form. Commercial drivers need SGI's Commercial Driver's Licence Medical Report (3167), and SAIL runs the insulin pump and nutritional products programs.
Submit the PPI within three days of the assessment; WCB Saskatchewan adds a fee when it arrives through WCB online services. SGI expects a written report within six days of a written request, and its permanent impairment forms come attached to its request letters. For drug coverage, the library has Saskatchewan Blue Cross's special authorization form (CLMS-1006). It lists no Saskatchewan income assistance or student aid form yet. Federal forms (T2201, CPP disability, EI) apply here as everywhere; see the federal hub.
Primary practitioner's initial report for every work-related injury, including no-time-loss injuries; it confirms disability for wage-loss benefits.
Physician's progress or discharge report when the worker's condition, diagnosis or treatment changes.
Record of a functional examination of a worker.
Treatment program's notice to WCB that a worker has been taken into a secondary or tertiary program.
Chiropractor's initial findings, sent within three days of starting treatment.
Chiropractor's progress report after each block of six treatments, or discharge report.
Progress report from a provider outside Canada who is treating a worker injured in Saskatchewan.
Dentist's initial report of a work-related dental injury and treatment plan.
Hearing service provider's request for WCB funding of hearing services or aids.
Massage therapist's request for authorization to provide primary-level treatment.
Mental health or OT provider's request for authorization to provide primary-level treatment.
Occupational therapist's initial report.
Occupational therapist's progress or discharge report.
Confirms an agreed return-to-work plan (hours and restrictions), with copies to the primary care provider, employer and worker.
Psychologist's initial assessment report, including DSM-5 diagnoses and treatment plan.
Psychologist's progress or discharge report.
Physiotherapist's initial assessment report.
Physiotherapist's progress or discharge report.
Generic discharge summary for other accredited treating practitioners.
Generic initial report for other accredited treating practitioners.
Generic progress report for other accredited treating practitioners.
Customer's practitioner describes scarring (location, description, type, length, width) for SGI's permanent impairment benefit assessment.
Physiotherapist or occupational therapist records active range-of-motion measurements for SGI's permanent impairment assessment.
Written report asking SGI's Medical Review Unit to review a person's medical fitness to drive.
Medical required before testing for Class 1-4 licences (and Class 5 with certain endorsements), then every 5 years (18-45), 3 years (46-65) and yearly (66+).
Initial medical statement for a Saskatchewan health-care employee's application to the 3sHealth Disability Income Plan (CUPE, General, SEIU-West and SUN plans).
Industry initial medical statement used for Saskatchewan Blue Cross disability claims.
DISB-1006Physician's proof-of-death statement for life and AD&D claims.
Attending physician's statement for a critical illness claim.
Special authorization request for prescription drugs under Saskatchewan Blue Cross plans.
Prior-approval request for travel assistance when a child must go out of province for a medically required treatment not available in Saskatchewan.
Application for insulin pump coverage under SAIL's Saskatchewan Insulin Pump Program (type 1 diabetes). For adults.
Application for insulin pump coverage under SAIL's Saskatchewan Insulin Pump Program (type 1 diabetes). For patients under 18.
Application for SAIL's Therapeutic Nutritional Products Program (income-tested help with prescribed nutrition products).
Part B ('Access Transit External Assessment') of the Saskatoon Access Transit paratransit application; the practitioner assesses the applicant's functional ability to use regular transit.
Application or renewal for a Saskatchewan accessible parking permit for people unable to walk unassisted more than 50 m without great difficulty or danger.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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No published one. SGI has no public forms page for health care providers and no standard injury report form. Practitioners must give SGI a written report within six days of a written request, under section 168 of the Act. SGI's permanent impairment forms, such as the Permanent Impairment Description form and Range of Motion Charts, arrive attached to its request letters.
Within three days of the assessment, for every work-related injury, including injuries with no time loss. The PPI confirms disability for wage-loss benefits. Submit it through a WCB online account, which adds a fee on top of the report fee, or by fax. Follow up with the PPP about every three weeks while the worker is off work, and within three days of discharge.
The driver. The Commercial Driver's Licence Medical Report (3167) states that physicians cannot bill SGI. A physician, NP or occupational health nurse completes it before testing for Class 1 to 4 licences, then every 5 years from age 18 to 45, every 3 years from 46 to 65 and yearly from 66. The PDF has no fillable fields.
A physician, NP, occupational therapist, physical therapist or chiropractor completes Section 2 for people who can't walk more than 50 metres unassisted without great difficulty or danger. The applicant mails it or brings it to SaskAbilities within 3 months; email and fax aren't accepted because original signatures are required. Renewing a permanent permit needs only the applicant's self-declaration.