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Alberta WCB Account Set Up
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Alberta WCB Account Set Up
Our accountant will evaluate this form once you fill it out, pay for it, and submit it before filing it with the WCB authorities. We will get in touch with you if any details are missing.
Registration Fees
*
$ 195.00 CAD
Make sure you fill out this form completely & accurately. Within five to ten business days of receiving this form, WCB will get in touch with you directly.
Did You Register with us?
*
Yes
No
Your order number
Business Name (accurate)
*
If Known, CRA Business Number
Your business type
*
Corporation
Individual/Proprietorship
Partnership
Limited/Incorporated
Other
Write your business type
*
Have you or this business organization ever been registered with WCB-Alberta under the above name or any other business name
*
Yes
No
WCB-Alberta Account Number(s)
Name on previous WCB-Alberta account:
*
Have you purchased this business?
*
Yes
No
Previous Business Name:
*
Date Purchased
*
MM slash DD slash YYYY
Previous Owner Contact Name(s):
*
Phone Number:
*
Business Address
How fast do you need to file?
*
Filed in 10 Business Days $00
Filed in 2 Business DAYS $95
Filed in 2 Business HOURS $195
Delivery Mode
Ground Delivery
SS
RR
PO Box
MR
PO Box or Route Number:
*
Actual physical location of operations
Same as billing address
Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Contact Details
Applicant's First Name
*
Applicant's Last Name
*
Position
Owner/Director
Legal Representative
Legal Representative
Employee
Employee Representative
Other
Regular Phone Number
Please provide your email
Confirm Your email
Business Hiring Activity
Do you hire workers and/or subcontractors?
Yes
No
Estimated number of workers (excluding directors)
Start date of first worker
Month
1
2
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12
Day
1
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Year
2025
2024
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2022
2021
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2019
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2015
2014
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2012
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Estimated total payment to workers (excluding directors)
Seasonal Work: Do you operate for part of the year?
Yes
No
Typical starting month for seasonal work
Write Only Month
Typical ending month for seasonal work
Write Only Month
Are you an independent owner/operator of heavy equipment or truck(s)?
Yes
NO
Please list make, year, model, and/or serial number(s):
Who is the registered owner of the heavy equipment or truck(s)?
Do you own and/or lease any other equipment or assets?
Yes
No
Please list make, year, model, and/or serial number(s):
Who is the registered owner of the heavy equipment or truck(s)?
Do you perform work outside of Alberta?
Yes
No
Please list location(s):
Whether a personal or business bank account, what is the name of the bank used for business?
What is the location of the bank used for business?
Company Operations
Provide a description of your operations including activities performed, products developed and services provided.
Provide a list of direct competitors. Reviewing competitors can assist when classifying a new business.
Personal Coverage
Directors, owners and partners are not automatically covered under the Workers' Compensation Act. Personal Coverage must be requested.
Do you want to add personal coverage?
Yes
No
Personal coverage holders' details
First name
Last name
Date of Birth (YYYY/MM/DD)
Coverage Amount ($)
Add
Remove
Declaration of Accuracy
*
Yes, I certify the following
By submitting this form, I certify that I am authorised to complete it and that, to the best of my knowledge and belief, the information provided is true and accurate. I am aware that the Alberta Workers' Compensation Act allows for administrative fines or criminal charges to be levied against those who intentionally give the Board inaccurate or misleading information.
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