
C394 WAGE Lockbox 2415 Box 2415 Edmonton AB T5J 2S5 Edmonton AB T5J 2S5 Fax: (780) 4275863 Fax: (780) 4275863 18006611993 18006611993Claim number:Social insurance #:Worker 's name:(Surname)Address:.
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How to fill out the Canada WCB C-394 online
Filling out the Canada WCB C-394 form is an essential step for workers seeking wage loss reimbursement. This guide will provide clear, step-by-step instructions on how to complete the form accurately and efficiently.
Follow the steps to complete your Canada WCB C-394 form online.
- Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
- Start by filling out the 'Claim number' and 'Social insurance #' fields. Ensure that the information is accurate and corresponds with your records.
- Enter the worker's details, including their first name, initial, and surname, followed by their complete address, including street, city/town, province, and postal code.
- Input the date of the accident in the designated format (YYYY/MM/DD) and provide the worker's telephone number.
- Answer the first question regarding direct payment to the worker for time missed attending the appointment. Choose 'Yes' or 'No' carefully, as WCB does not reimburse employers for missed appointment time.
- If the worker is self-employed, indicate this in the following section. If they are, ensure to supply the required income documentation as specified.
- Record the total time missed from work to attend appointments in hours and provide the specific date(s) missed from work.
- Fill in the rate of pay, including the frequency (hourly, monthly, yearly) and any details needed for different payment structures.
- Provide the average number of hours worked per week to help determine the correct compensation amount.
- Complete the employer's information section by filling in the employer's name, address, telephone number, city/town, province, email address, contact name, and official title.
- After filling in all the required sections, review the document for completeness and accuracy. Save your changes, download, print, or share the completed form as necessary.
Complete your Canada WCB C-394 form online today for timely reimbursement.
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