Order WCB forms & materials

A number of our most-accessed forms, booklets and print materials are available for order. Fill out the fields below and your order will be mailed to you within one week.

If your order is for fewer than 10 forms, please print the form from your office.

Worker forms

Form Quantity (min. 10)
Assignment of compensation - C140
Authorize a worker representative - C622
Automobile accident report - L054
Damaged eye glasses form - C697
Progressive injury questionnaire - C504
Request for review - G040
Right of election to claim under WCB-Alberta - C169
Wage loss allowance - C394

Employer forms and materials

Form Quantity (min. 10)
Asbestosis exposure claim forms - C060 and C013
If you are hurt at work (1-2-3 posters)
Individual earnings record - A321
Physical demands analysis - C545
Progressive injury questionnaire - C606
Employer/Worker responsibility card - WCB018
Employer report of injury - C040 [Limit of 300]

Call 780-498-3999 if additional information is required.