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C966 EMPLOYER'S AUTHORIZATION OF A REPRESENTATIVE Box 2415 Edmonton AB T5J 2S5 Fax (780) 498-7999 Part 1: Instructions and Important Information Part 1: This form is to be used when an insured wishes.

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If you operate in an industry that's required to have workers' compensation coverage (a mandatory industry), you must open a WCB-Alberta account within 15 days of hiring your first worker. A worker is anyone who works: Full time. Part time.

If you employ workers in Alberta or would like personal coverage as an owner, partner or director, you can sign up for a WCB account online. Fill out the WCB account registration form and you will receive a confirmation number for your records.

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.

Signing up is easy. Go to .wcb.ab.ca/application to get started. You can receive compensation benefits if you choose to purchase personal coverage. Although personal coverage is optional in Alberta, principals may require it as a condition of contract.

You should receive your first wage replacement benefit payment from WCB-Alberta within 14 days of WCB-Alberta registering your new claim. You will be paid wage replacement benefits as long as medical evidence shows you are unable to return to work due to your injury. Compensation benefits are not taxable.

The minimum annual premium on a WCB account is $200. It's important to base the coverage on your actual employment earnings (earnings before tax, CPP and EI deductions).

EMPLOYER REPORT. of Injury or Occupational Disease. C040.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232