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WEB Initial Questionnaire Worker Information Last Name: First Name: Middle Initial: Date of initial visit (dd/mm/YYY): Care Card No.: Claim Information Claim Number: Date of injury (dd/mm/YYY): Area(s)
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How to Fill Out WCB Initial Questionnaire:

01
Begin by carefully reviewing the WCB initial questionnaire form. Take note of all the required fields, sections, and instructions provided.
02
Gather all the necessary information and documents before starting to fill out the questionnaire. This may include personal details (such as name, address, contact information), employment information (such as employer name, job title, dates of employment), and medical information (such as details of the injury, medical treatment received).
03
Start filling out the questionnaire by answering each question accurately and truthfully. Ensure that you provide all the requested information, including any supporting details or documentation if required.
04
Pay close attention to any specific instructions or additional information provided within the questionnaire. Follow these instructions carefully to ensure your submission is complete and accurate.
05
Review your answers before submitting the form to make sure all the information provided is correct and complete. Double-check for any errors or missing information and correct them if necessary.

Who Needs WCB Initial Questionnaire:

01
Individuals who have been injured or suffered a work-related illness and are seeking workers' compensation benefits.
02
Employees who have experienced an occupational injury or illness during the course of their employment, regardless of whether it occurred on the job site or during work-related activities.
03
Workers who believe they are entitled to receive compensation for medical expenses, lost wages, and other related benefits through their employer's workers' compensation insurance.
Please note that the specific requirements for the WCB initial questionnaire may vary depending on the jurisdiction and the rules and regulations of the Workers' Compensation Board or Commission in your region. It is essential to consult the relevant authority or seek professional advice if you have any doubts or specific questions regarding the process of filling out the WCB initial questionnaire.
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The wcb initial questionnaire is a form used by employers to provide important information about their business and employees to the Workers' Compensation Board.
All employers are required to file the wcb initial questionnaire with the Workers' Compensation Board.
The wcb initial questionnaire can be filled out online through the Workers' Compensation Board's website or through a paper form that can be submitted by mail or in person.
The purpose of the wcb initial questionnaire is to collect information that will help the Workers' Compensation Board assess the risks associated with a particular workplace and determine the appropriate insurance coverage for the employer.
Information such as the employer's name, address, type of business, number of employees, and any previous workers' compensation claims must be reported on the wcb initial questionnaire.
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