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WCB Information > Order worker & employer forms

Order worker/employer publications & forms:

To order forms, simply fill in the fields below. Occasionally our forms and brochures change, so make sure you have the newest version by ordering only the stock you require.

If you have questions about a claim or employer account, please call the Claims Contact Centre or send us an e-mail.

If you are looking for workplace health and safety information, please visit the Alberta Workplace Health & Safety website.

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*Contact Name:
*Phone Number:
 with area code
*Company Name:
 E-mail Address:
*Mailing Address:
street
 
city
 
province/State
 
postal code
Please print the pdf if your order is under 10 forms.
Worker Forms Quantity
C140 Assignment of Compensation - Print (pdf, 49KB)
C504 Progressive Questionnaire - Print (pdf, 29KB)
WCB 002/C060 Worker Handbook and Worker's Report of Injury - Print (pdf, 100KB)
C169 Worker's Right of Election - Print (pdf, 92KB)
C-1040 Election to Claim Under the AB WCB - Print (pdf, 19KB)
C-078 Worker Request - Change of Direct Deposit - Print (pdf, 31KB)
C-394 Wage Loss - Print (pdf, 31KB)
C-622 Worker Information Release - Print (pdf, 32KB)
C-697 Damaged Eyeglasses Non-Personal Injury - Print (pdf, 47KB)
   
Employer Forms Quantity
C040 Employer's Report of Injury or Occupational Disease - Print (pdf, 195KB)
C545 Physical Demands Analysis - Print (pdf, 182KB)
C606 Employer's Progressive Injury Questionnaire - Print (pdf, 14KB)
WCB009 - Employer Handbook (AOO9) - Print (pdf, 479KB)
WCB018 - Employer/Worker Responsibility card - Print (pdf, 61KB)
A321 Individual Earnings Records - Print (pdf, 15KB)
If You Are Injured at Work (1,2,3) Poster - Print (pdf, 314KB)
Asbestosis exposure claim forms - Print (pdf, 287KB)
   
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