Sick Notes for Ontario Construction Workers: Your Rights on Site

Ontario construction workers face unique challenges with sick notes — from WSIB claims to strict site attendance policies. Here's what you need to know.

Sick Notes for Ontario Construction Workers

Construction workers in Ontario face unique challenges when it comes to sick notes. Between WSIB requirements, union rules, and strict site attendance policies, knowing your rights is essential.

WSIB vs. Regular Sick Notes

WSIB Claim (workplace injury):

  • Report to your supervisor immediately

  • Visit a healthcare provider (ER, walk-in, or online)

  • Your employer files the WSIB Form 7

  • Your healthcare provider completes a Functional Abilities Form (FAF)

  • WSIB covers lost wages (85% of net earnings)


Regular Illness (non-workplace):
  • ESA protections apply (3 paid sick days, no note required)

  • Employer may require note for absences over 3 days

  • You pay for the note (unless employer policy covers it)

  • No WSIB involvement


Construction-Specific Challenges

1. No desk job alternative — You can't "work from home" with a broken wrist
2. Physical demands — Even minor illness can be dangerous on site
3. Multiple employers — Subcontractors may have different policies
4. Union vs. non-union — Different rules and protections
5. Seasonal work — Missing days during peak season is costly

Your Rights Under the ESA

Even as a construction worker:

  • You get 3 paid sick days (no note required)

  • You cannot be fired for legitimate illness

  • Your employer must accommodate medical restrictions

  • Online sick notes are legally valid


Getting a Sick Note Without Losing a Day

Construction workers often work 6am-4pm, making clinic visits during work hours impossible. MedLetter solves this:

  • Apply from your phone in 5 minutes

  • Receive your note in same day

  • No clinic visit, no waiting room

  • Available early mornings and evenings

  • $49 flat fee


Return to Work Notes for Construction

After an injury or illness, your employer may require a fitness-for-duty note before you return to site. This note should confirm:

  • You're medically cleared for physical labour

  • Any restrictions (no heavy lifting, limited climbing, etc.)

  • Duration of any restrictions

  • Follow-up requirements


MedLetter provides return to work clearance notes for $79, delivered same day.

Union Members: Know Your CBA

If you're a union member (LiUNA, IBEW, UA, Carpenters, etc.):

  • Check your collective bargaining agreement for sick note provisions

  • Many CBAs require employer reimbursement for sick note costs

  • Your union rep can help if your employer violates the policy

  • Document everything in writing


Related: [Sick Note Ontario — Complete City Guide](/sick-note-ontario) | [Ontario Sick Note Cost 2026](/blog/ontario-sick-note-cost-2026)

Frequently Asked Questions

Can I get a sick note online in Ontario?
Yes. CPSO-licensed physicians can assess patients through virtual consultations and issue legally valid sick notes accepted by all Ontario employers.

How much does an online sick note cost in Ontario?
MedLetter charges a flat $49 for a sick note with same-day delivery. This includes the physician assessment and official documentation.

Will my Ontario employer accept an online sick note?
Yes. The College of Physicians and Surgeons of Ontario recognizes virtual care. Online sick notes are legally equivalent to in-person notes.

How long does it take to get a sick note from MedLetter?
Most sick notes are delivered within 2-6 hours of submission. Same-day delivery is standard.