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Get Wcb C-040 2014
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How to fill out the WCB C-040 online
Filling out the WCB C-040 form is essential for employers reporting workplace injuries or occupational diseases. This guide offers clear instructions on how to complete the form accurately and efficiently online.
Follow the steps to successfully complete the WCB C-040 form.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Provide worker information. Fill in the last name, former name (if applicable), first name, address, social insurance number, apartment number, city, postal code, province, daytime phone, evening phone, initial, health care number, date of birth, occupation, and sex.
- Complete employer information. Enter the WCB account number, business name or government department, industry, whether the injured worker has WCB personal coverage with the business, mailing address, and whether the injured worker is a proprietor, partner, or director of the business.
- Fill in the injury or occupational disease information. Enter the date and time of injury, scheduled hours of employment on the day of the accident, and the name of the person who was notified of the injury along with their position. Describe the location where the accident happened.
- Detail the circumstances surrounding the injury or disease. Describe what the worker was doing at the time of the incident, including any tools, equipment, or materials they were using.
- Indicate the part of the body injured and the type of injury (e.g., sprain, strain, bruise). Answer questions about whether the worker's actions were part of their regular duties.
- Provide lost time/return to work information, including the date and time the worker first missed work, whether pay was provided while off work, and modified work duties if applicable.
- Complete wage information, including the worker's pay rate at the time of the accident and any additional taxable benefits.
- Fill in hours of work, indicating the number of hours worked per day and the work schedule repetition.
- Review all entries for accuracy. Save changes, and download or print the completed form as necessary.
Complete your WCB C-040 form online today to ensure timely processing of your report.
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To obtain a workers' compensation claim number, you will usually receive it after you file your claim with WCB C-040. This number serves as your unique identifier in the compensation process and helps track your case. If you haven't received it, you can reach out to WCB directly, providing them with your information to expedite the issuance. Having your claim number handy can make communication easier.
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