WCB AB
Injury Report Instructions The numbers refer to question numbers on the form that may require additional explanation. Worker Information 1 Have your work duties been modified? Your duties have been modified if your employer made changes to regular job duties, as a result of an injury. For example, tasks or functions, workload (e.g., hours or work schedules), environment or work area, equipment. Please indicate if you are working as an apprentice. Employer Information 2 Please complete all the information MoreReport in this booklet. 4. 3. 2. 1. 5. 6. 7. 8. Injury Report Instructions. The numbers refer to question numbers on the form that may require additional Less
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