Functional Abilities Form
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Current legal reference synchronized from Ontario e-Laws. Open a Learning Centre walkthrough if you need the steps and form numbers. The statute text below is the legal wording.
Who this affects. Employees and employers dealing with wages, hours, leave or termination pay.
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Government text current to 2026-11-02.
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O. Reg. 456/97: FUNCTIONAL ABILITIES FORM, Under: Workplace Safety and Insurance Act, 1997, S.O. 1997, c. 16, Sched. A
Workplace Safety and Insurance Act, 1997
Ontario REGULATION 456/97
formerly under Workers’ Compensation Act
FUNCTIONAL ABILITIES FORM
Consolidation Period: From May 6, 2016 to the e-Laws currency date.
Last amendment: 124/16.
Legislative History: 28/07, 124/16.
This is the English version of a bilingual regulation.
1. For the purposes of subsection 37 (3) of the Act,
(a) the form that is prescribed is the form titled “Functional Abilities Form for Planning Early and Safe Return to Work” that is dated July, 2006, and that is available on the Internet on the website of the Workplace Safety and Insurance Board; and
(b) the information to be given by a health professional is the information required to complete the form referred to in clause (a). O. Reg. 28/07, s. 1; O. Reg. 124/16, s. 1.
2. Omitted (provides for coming into force of provisions of this Regulation). O. Reg. 456/97, s. 2.
Form Revoked: O. Reg. 28/07, s. 2.