Canada WCB Alberta C-966 2015 free printable template

C966 EMPLOYER IS AUTHORIZATION OF A REPRESENTATIVE Box 2415 Edmonton AB T5J 2S5 Fax (780× 4987999 Part 1: Instructions and Important Information Part 1: This form is to be used when an employer wishes

How to fill out Canada WCB Alberta C-966

How to fill out Canada WCB Alberta C-966

1. Obtain the Canada WCB Alberta C-966 form from the official WCB website or your workplace safety representative.
2. Fill out your personal information in the designated sections, including your name, contact information, and worker number.
3. Provide details about the incident, including the date, time, and location of the injury or incident.
4. Describe the nature of the injury or illness in clear and concise language, detailing any medical treatment you received.
5. List any witnesses to the incident, if applicable, including their contact information.
6. Sign and date the form to certify that the information provided is true and accurate.
7. Submit the completed form to your employer and ensure you keep a copy for your records.

Who needs Canada WCB Alberta C-966?

1. Workers who have been injured or become ill due to work-related activities in Alberta.
2. Employers are also required to complete this form to report an incident involving their employees.

For pdfFiller’s FAQs

How can I send Canada WCB Alberta C-966 to be eSigned by others?

Once your Canada WCB Alberta C-966 is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.

Can I sign the Canada WCB Alberta C-966 electronically in Chrome?

As a PDF editor and form builder, pdfFiller has a lot of features. It also has a powerful e-signature tool that you can add to your Chrome browser. With our extension, you can type, draw, or take a picture of your signature with your webcam to make your legally-binding eSignature. Choose how you want to sign your Canada WCB Alberta C-966 and you'll be done in minutes.

How can I edit Canada WCB Alberta C-966 on a smartphone?

The best way to make changes to documents on a mobile device is to use pdfFiller's apps for iOS and Android. You may get them from the Apple Store and Google Play. Learn more about the apps here. To start editing Canada WCB Alberta C-966, you need to install and log in to the app.

What is Canada WCB Alberta C-966?

Canada WCB Alberta C-966 is a form used for reporting injury claims and related information to the Workers' Compensation Board (WCB) in Alberta, Canada.

Who is required to file Canada WCB Alberta C-966?

Employers in Alberta who have employees that are injured or have suffered an occupational disease are required to file the Canada WCB Alberta C-966 form.

How to fill out Canada WCB Alberta C-966?

To fill out the Canada WCB Alberta C-966, employers should provide accurate details about the injured employee, the circumstances of the injury, and any relevant medical information as required by the form.

What is the purpose of Canada WCB Alberta C-966?

The purpose of Canada WCB Alberta C-966 is to document workplace injuries and ensure that injured workers receive the appropriate benefits and compensation for their claims.

What information must be reported on Canada WCB Alberta C-966?

The information that must be reported on Canada WCB Alberta C-966 includes the employee's details, a description of the injury, the date and time of the incident, and any witness information, along with medical treatment details.