PROTECTING PERFORMERS, PRODUCERS, ENGAGERS & PRODUCTIONS



Forms

The application for the Accident on Set program is also available from the ACTRA representative during pre-production meetings, or by contacting the Accident on Set administrator at AFBS directly. Completed applications must be received by AFBS in advance of any production activities which involve eligible performers.

  • Application
    Please fax or email the completed application to:
    Actra Fraternal Benefit Society
    1000 Yonge Street, Toronto, ON, M4W 2K2

    PHONE: 416-967-6600, 1-800-387-8897
    FAX: 416-967-5372, 1-888-804-8929
    E-MAIL: admin@accidentonset.com

  • WSIB Entertainment Application (to be completed when the production crew is insured through WSIB)
    If the production is using Entertainment Partners payroll services please forward the completed WSIB Entertainment Application directly to them. Otherwise please send the form directly to AFBS, who will forward it to WSIB on behalf of the production.

  • Accident/Incident Investigation Report
    PLEASE FAX THE COMPLETED ACCIDENT/INCIDENT INVESTIGATION REPORT TO SHEPELL-FGI AT: 1-877-562-9126 (toll-free within North America) or 1-905-278-7317 (outside North America - regular long distance charges will apply).

    Shepell-fgi has been engaged by Actra Fraternal Benefit Society to provide active early intervention and support to insured performers when an accident occurs on set. The Shepell-fgi triage nurse is available by phone at 1-888-510-1402 (toll-free within North America) or 1-416-969-4840 (collect call outside North America).