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Your worker would be paid WCB bene ts for 2 days. Sun Hours per day Mon Tues Wed Thurs Fri Sat 8D 8N Important Circle the day in the work schedule your worker was injured. September 2014 P. O. BOX 2415 EDMONTON AB T5J 2S5 EMPLOYER REPORT Phone 780-498-3999 in Edmonton 1-800-661-9608 outside Alberta Seven Digit Claim if available 780-427-5863 or 1-800-661-1993 C040 Fatality No Time Lost Notice of non-disabling...
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c040 wcb employers fillable
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