Get Wcb C966 Fillable Form

Filling out the Wcb C966 Fillable Form is essential for employers who wish to authorize a representative for accessing their account or claim information. This guide provides detailed, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to fill out the Wcb C966 Fillable Form online.

1. Press the ‘Get Form’ button to access the Wcb C966 Fillable Form and open it for editing.
2. In Part A, provide employer information by filling in the legal name of the company, address, WCB account number, and contact details including the telephone number and fax number.
3. In Part B, enter the information of the representative you are authorizing. Choose whether you authorize a person or a company, and complete their full name and address details.
4. Proceed to Part C to specify the scope of representation. Check the appropriate box to indicate whether the representative has access to all claims and employer account matters, all account matters, all claims matters, or access limited to a specific claim file.
5. In Part D, fill in the expiry date of this authorization. Note that the expiry date can be a maximum of three years from the effective date. If left blank, it will default to three years.
6. Include the signature of an authorized officer from the company and provide their printed name, position, telephone number, fax number, and the date of signing.
7. Once you have completed all sections, save the changes, download the form, print it for your records, or share it as needed.

Complete the Wcb C966 Fillable Form online today to ensure timely authorization for your representative.