Get C936

Filling out the C936 form is essential for personal attendants seeking wage loss allowances due to missed work while assisting a Worker’s Compensation Board (WCB) claimant. This guide provides clear and supportive instructions to ensure you complete the form accurately and confidently.

Follow the steps to fill out the C936 form online

1. Press the ‘Get Form’ button to access the C936 form and open it in your preferred online editor.
2. Begin filling out the personal attendant's name, including their surname, first name, and initials. Ensure all details are accurate for proper identification.
3. Enter the personal attendant's Social Insurance Number, which is required for processing T4A slips. This information is crucial for reimbursement purposes.
4. Provide the personal attendant's complete address, including street, city/town, postal code, and province. This ensures that any correspondence is directed appropriately.
5. Input the personal attendant's telephone number, formatted correctly to facilitate communication.
6. Indicate whether the personal attendant will be paid directly for the time missed to attend the appointment. Choose 'Yes,' 'No,' or provide details if 'Other'.
7. Specify if the personal attendant is self-employed. If so, indicate 'Yes' or 'No.' If 'Yes,' they must include their income and expenses for the month prior to the appointment date.
8. Document the time missed from work to attend the appointment, providing exact times to clarify any absences.
9. List the dates that the personal attendant missed work due to the appointment.
10. Enter the rate of pay for the personal attendant, clearly stating whether it is an hourly, daily, monthly, or yearly amount. Provide details for any 'Other' payment structure.
11. Specify the number of hours the personal attendant works per week or shift. This helps to determine the wage loss allowance.
12. Circle the personal attendant's usual days off to help clarify their regular work schedule.
13. Provide the date when the shift cycle commenced, which may be necessary for determining eligibility.
14. Enter the name of the personal attendant’s employer, along with the employer's complete address and telephone number.
15. Sign the form with the contact signature, entering the contact name and title, and include the date the form is completed. Ensure that all information is accurate before submission.
16. Once completed, save the form, and choose to download, print, or share it as necessary. Make sure to return the completed form to the designated address or fax number.

Complete your C936 form online today to ensure timely processing of your wage loss allowance.