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How to File a Claim With the WCB

Thank you for choosing to use the electronic version of the new WCB employer reports. This page contains all employer reporting forms in PDF (Portable Document Format) files. To view or print blank forms, you need Adobe Acrobat Reader 3 or higher. If you wish to complete the forms online, you require Adobe Acrobat Reader 4.0 or higher.

Important: This web page does not electronically submit forms. When you have completed the form, be sure to print and fax the report to 954-4999 or toll free at 1-877-872-3804.

Information about completing the Annual Workers Earnings Report.


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Claims Forms:
To begin entering data: Place your cursor in the field in which you wish to begin and left mouse click to anchor the cursor. Begin typing the information in the field. If you are unable to enter information in a particular field, it is likely that the form was programmed to receive a numerical response in that particular location. Dates must be entered numerically as DD MM YYYY.

To navigate the fields: Use the TAB key to move to the next blank field or left mouse click your cursor into the field in which you wish to enter information. If you miss or need to change a field, use your SHIFT/TAB keys simultaneously to move back to that space and make your change or left mouse click in the appropriate field.

To print the form: You can print the form from FILE, PRINT menu and print as you would any other document or select the PRINT FORM button at the bottom of the page. If you have fax software available, you may be able to select the software as your printer in order to fax the page.

To clear the page: Clicking the CLEAR FIELDS button located at the bottom of the page will clear all filled in fields with the exception of the healthcare provider information located at the bottom of the form. The healthcare provider information will remain on the form until you EXIT from the form.

Things to watch for:
  • If the cursor disappears, just left mouse click in the field you would like to be in.
  • Printing Tip: some of the forms have text or graphics quite close to the edge of the paper. If your printer is cutting off information, try printing at a reduced size or use "shrink to fit" or "fit to page" in the print dialogue box.
Have a question or wish to provide feedback? This is a new service and as such, we would like to know how you feel about the forms, your access to the forms, using the PDF format, or whatever you would like to share. Please email us with your questions and/or comments.


Assessment Forms:

For employers registered to report workers’ earnings information on an annual basis, the WCB mails an Annual Workers Earnings Report each January. The WCB uses the information employers provide on these forms to determine assessment premiums.  Employers must submit their completed form to the WCB by the end of February.

You can print a blank copy of the Annual Workers Earnings Report if you did not receive one. Please make sure to include your firm number with the information you provide to the WCB. When completed, please fax the form to 954-4900 or toll-free to 1-866-245-0796. This form cannot be submitted electronically via e-mail or through this website.

 



Review Office Forms:

If you do not agree with a decision that has been made with regard to your claim, you can make an appeal to the Review Office using the Request for Review form. The form can be completed online, however, you will need to print it to send it to the Review Office. Before submitting the form, please refer to the Appealing a Claims Decision section of this website.