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?*

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*

WCB-Alberta Account Number(s)

Name on previous WCB-Alberta account:*

Have you purchased this business?*

Previous Business Name:*

Date Purchased*

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

PO Box or Route Number:*

Actual physical location of operations

Same as billing address

Address

Street Address Address Line 2 City Province Postal Code

Contact Details

Applicant's First Name*

Applicant's Last Name*

Position

Regular Phone Number

Please provide your email

Confirm Your email

Business Hiring Activity

Do you hire workers and/or subcontractors?

Estimated number of workers (excluding directors)

Start date of first worker

Estimated total payment to workers (excluding directors)

Seasonal Work: Do you operate for part of the year?

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)?

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?

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?

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 ($)

Alberta WCB Account Set Up