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Get Canada Wsib 1824a 2022-2025
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How to fill out the Canada WSIB 1824A online
Filling out the Canada WSIB 1824A form online is a straightforward process. This guide provides comprehensive and user-friendly instructions to help you accurately complete and submit the form.
Follow the steps to successfully complete the WSIB 1824A form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out the claim number and the name of the worker. Be sure to include the worker's date of birth in the specified format (dd/mmm/yy).
- In Part A, provide the worker’s name and employer/company name. Fill in the complete address, including city/town and postal code.
- Input the employer's telephone and fax numbers. Indicate the preferred language for communication: English, French, or other.
- Proceed to Part B. Enter the name of the person and/or organization being authorized. Fill out their address, city/town, telephone, fax, and postal code.
- Provide a signature in the designated space. Complete one of the three sections relevant to the representative's legal status, ensuring all applicable details are included.
- In Part C, verify the scope of authorization. The designated representative will have access to claim-related information as specified.
- In Part D, the worker or employer must authorize the representative by signing and dating the form (dd/mmm/yy).
- If additional space is necessary, make a note on page 1 indicating attachment of supplemental pages. Ensure the form is completed in black ink.
- Once finalized, save your changes, and choose to download, print, or share the completed form, following the designated submission methods.
Complete your documents online today to streamline your claims process.
Optional insurance is workplace insurance coverage that can be purchased from the WSIB by people who are not automatically covered under the Workplace Safety and Insurance Act, 1997, (WSIA/Act). Optional insurance was previously called personal coverage.
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