Get Application Of Worker

This guide provides step-by-step instructions for filling out the APPLICATION OF WORKER online. The form is essential for workers seeking compensation for asbestos-related diseases and must be completed accurately to avoid delays.

Follow the steps to complete your APPLICATION OF WORKER form online.

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by entering the worker information. Fill in the last name, first name, preferred first name, and middle initial. Complete the address fields including address line 1, address line 2, city, province/state, postal code/zip, and country if applicable. Make sure to include the home phone number and business phone number.
3. In the worker's personal details section, enter the date of birth and social insurance number. Include the personal health number, occupation, weight, height, gender, and marital status as applicable.
4. Next, provide employer information. Fill in the employer organization name, phone number, mailing address, city, province/state, postal code/zip, and country if applicable. Also, indicate the type of business.
5. Move on to the questions section. Answer questions about the diagnosis date of asbestos-related disease and include the date you last worked if retired or disabled. Provide details about your employment history, including exposure to asbestos.
6. Continue by answering questions regarding business or equipment expenses deductions, previous claims with other Workers’ Compensation Boards, military pensions, and gross earnings confirmation.
7. Complete the employment history section by listing all employers and job categories held. Enter the employer's name, location, and job tenure.
8. Finally, review the declaration statement. Make sure to sign and date the report. Confirm all information is accurate before submission.
9. Save your changes, download the completed form, print it, or share it as needed for submission.

Start completing your APPLICATION OF WORKER form online today.