Get C394 2020-2026

Filling out the C394 form is a crucial step for workers seeking wage loss allowances due to necessary appointments related to their claims. This guide provides a clear and supportive overview of how to complete the form accurately and efficiently online.

Follow the steps to complete the C394 form online.

1. Click the ‘Get Form’ button to access the C394 form and open it in the online editor.
2. Begin by entering the worker's name, claim number, and social insurance number in the designated fields.
3. Fill in the worker's address, including street, city, province, and postal code.
4. Enter the worker's telephone number for contact purposes.
5. Indicate the date of the accident in the specified year, month, and day format.
6. Answer whether you will pay the worker directly for the time missed to attend the appointment by selecting 'Yes' or 'No'. If other, provide details as needed.
7. Clarify if the worker is self-employed by selecting 'Yes' or 'No'. If 'Yes', ensure to provide the WCB with income and expenses for the month prior to the appointment date.
8. Specify the time missed from work, including exact dates of absence to attend the appointment(s).
9. Input the rate of pay, including whether it is hourly or daily, and other relevant details where applicable.
10. Indicate the number of hours worked per week/shift and circle the worker's usual day(s) off.
11. Record the date the shift cycle commenced and provide the employer's name and address.
12. Include the employer's telephone number for any necessary follow-ups.
13. The contact person must sign and print their name, add their official title, and include the date.
14. Once all fields are completed, users can save changes, download, print, or share the form as needed.

Start filling out your C394 form online today to ensure timely processing of your wage loss claims.