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Get Election To Claim Unter The Ab Wcb C1040 - Workers ... - Wcb Ab
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How to fill out the Election To Claim Under The AB WCB C1040 - Workers Compensation Board online
This guide provides clear and concise instructions on how to fill out the Election To Claim Under The AB WCB C1040 form for workers injured in Alberta. Following these steps will help ensure that your claim is submitted accurately and promptly.
Follow the steps to complete your claim form online.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Fill in the date of the accident in the format YYYY/MM/DD. This date should correspond to when the work-related incident occurred.
- Enter your surname, first name, and full address, including city/town, province, and postal code.
- Provide your claim number, if available, and your date of birth in the format YYYY/MM/DD.
- Input your telephone number so that the Workers' Compensation Board can contact you regarding your claim.
- Read the statement regarding your residency outside the Province of Alberta and the options available for claiming compensation.
- In the section labeled 'ELECTION TO CLAIM UNDER THE AB WCB', write the date of the accident and the location of the incident.
- Sign the form where indicated, and if applicable, have a witness sign in the designated area.
- Lastly, review your entries for accuracy, then save your changes, download, print, or share the completed form as required.
Complete your documents online to ensure your claims are processed efficiently.
Report your injury in the myWCB worker mobile app, or by completing a report of injury [PDF, 0.24MB] form right away, containing the details of your injury/illness, will help us to make correct and timely decisions for you. You can get this form from your employer, here on our website or at any WCB office.
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