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Get C060 Online Form 2016-2024

When your doctor or chiropractor sends in your medical report we will confirm your injury. September 2014 P. O. BOX 2415 EDMONTON AB T5J 2S5 WORKER REPORT Phone 780-498-3999 in Edmonton 1-800-661-9608 outside Alberta Fax of Injury or Occupational Disease Seven Digit Claim 780-427-5863 or 1-800-661-1993 Past the date of injury Have you been off work Yes No Last Name First Name Mailing Address Apt C060 Initial Social Insurance City Province Postal.

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