Your guide to the WCB-Alberta experience; includes injury reporting form, automobile accident report form, and information release form.
This booklet will help you get to know your back, understand why back pain occurs, how to manage it and how to maintain good back health.
- Back to basics French
- Office ergonomics French
Worker injury reporting form
- Worker report of injury or occupational disease form (form only) - C060
This form must be completed and submitted to WCB in order for the claims process to begin. - Worker report of injury or occupational disease form (with instructions) - C060
This guide will help you when completing the paperwork to report your injury. - Progressive questionnaire form - C504
Injuries that occur over time require more information. Complete this form along with your report of injury or occupational disease form.
Worker forms (A - Z)
- Asbestosis exposure claim forms - C060/C013/C117/C847
This package includes the worker report of injury or occupational disease (C060), pulmonary history questionnaire (C013), worker's employment record (chemical exposure) (C117) and assignment of damages agreement (C847). - Assignment of compensation form - C140
Use this form when your employer has kept you on full pay through your period of temporary disablement. - Authorize a worker representative/information release form - C622
Use this form to authorize another party to act on your behalf on your claim. - Automobile accident report form - L054
Work-related motor-vehicle accidents require completion of this form along with your report of injury. - Cardiac questionnaire - C684
A form used to help get a sense of your cardiac health; taking factors such as lifestyle and medical, family and employment history into consideration. - Childcare invoice
Submit this form to claim childcare expenses. Please discuss any childcare needs with you case manager or adjudicator ahead of time. - Damaged eye glasses form - C697
Use this form when only your eyeglasses have been damaged in a workplace accident (i.e. you have not injured your eye). - Dependent spouse or partner’s authorization of a representative form - C622W
Use this form if you are a widow or widower receiving survivor benefits and wish to authorize another party to act on your behalf. - Dermatitis questionnaire - C437
This form is used to better understand your skin health; taking factors such as employment, family and medical history into consideration. - Direct deposit request form - C078
Use this form to sign up to have your benefit payments deposited directly into your designated bank account.
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- Claims
- Report an injury
- The claims process
- Benefits during your claim
- Review and appeals
- Information for farm workers
