Canada WCB Alberta C-966 2019-2025 free printable template

C966 EMPLOYER IS AUTHORIZATION OF A REPRESENTATIVE PO Box 2415 Edmonton AB T5J 2S5 Fax: (780) 4275863 18006611993Part 1: Instructions and Important Information Part 1: This form is to be used when

How to fill out Canada WCB Alberta C-966

How to fill out Canada WCB Alberta C-966

1. Begin by downloading the Canada WCB Alberta C-966 form from the official website.
2. Fill in the personal details such as your name, address, and contact information.
3. Provide details of the incident, including the date, time, and location of the incident.
4. Describe the nature of the injury, including how it occurred and any immediate actions taken.
5. If applicable, include information about any witnesses to the incident.
6. Review the filled information for accuracy and completeness.
7. Sign and date the form at the designated section.
8. Submit the completed form to the proper WCB office via mail, fax, or online submission, as per instructions.

Who needs Canada WCB Alberta C-966?

1. Workers who have been injured on the job in Alberta need to fill out Canada WCB Alberta C-966.
2. Employers who are required to report workplace injuries may also need to complete the form.
3. Health care providers submitting information regarding a workplace injury may need the form.

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What is Canada WCB Alberta C-966?

Canada WCB Alberta C-966 is a form used to report workplace injuries and accidents to the Workers' Compensation Board in Alberta, Canada.

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

Employers in Alberta who have employees that experience a workplace injury or illness are required to file the WCB Alberta C-966.

How to fill out Canada WCB Alberta C-966?

To fill out Canada WCB Alberta C-966, gather all relevant details about the workplace injury, including the date, time, and nature of the injury, and complete the form with this information, ensuring all sections are filled accurately.

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

The purpose of Canada WCB Alberta C-966 is to provide the Workers' Compensation Board with the necessary information to assess workplace injuries and determine appropriate compensation and benefits.

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 details of the injured employee, the circumstances of the accident, the nature of the injury, and any medical treatment received.