Workers' Compensation Boards Account Set up for All Provinces (except Federal, ON, AB,BC & QC)

Our accountant will evaluate this form once you fill it out, pay for it, and submit it before filing it with the authorities. We will get in touch with you if any details are missing. All information is collected SECURELY & safe in custody

Select Your Jurisdiction*

Our accountant will evaluate this form once you fill it out, pay for it, and submit it before filing it with the WorkSafeBC authorities. We will get in touch with you if any details are missing.

Registration Fees*

Price: $299

Did you Register with us?

Your order number*

Your Business Name*

Business Phone Number*

Your email address for further follow up*

Enter Email Confirm Email

Contact Information:

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

Make sure you fill out this form complete & Accurate. Within five to ten business days of receiving this form, WCB will get in touch with you directly.

Full Name*

First Middle Last

Relationship to this Applicant*

Details About the Business

Select the type of business that best describes*

Is this a movie or television production company?*

Is this a publicly traded company?*

Show Instructions

A firm is said to be publicly traded if its shares are exchanged on a regulated stock market, as opposed to a private corporation, whose shares can only be purchased with the consent of the owners.

Does the firm hire subcontractors?*

*Does the firm perform work under subcontract?*

Does the firm currently employ or intend to employ a worker besides the shareholder(s)?*

A worker may be employed on a full-time, part-time, casual or temporary basis.

Section Business Other Records

Has this firm or any of its principals been previously registered with WorkSafeBC?*

Please include any affiliated firms currently or previously registered with WorkSafeBC.

Number of active shareholders

Is the firm paid directly by the general public for goods or services?*

Specific Business Requirements

Is the firm involved in the trucking or courier industry?*

What type of trucking or courier service does the firm provide?*

Does the firm drive into other provinces?*

Does the firm conduct business in other provinces or countries?*

Is the vehicle used to perform work in the trucking or courier industry owned by the firm or leased?*

Financial Details of the Business

Does the firm advertise its services?*

How does the firm advertise?*

How many major equipment does the firm supply?*

Equipment Details*

Make

Model

Year

Does the firm supply at a fixed contract price?*

Is the firm affiliated with any other BC corporation?*

Authorization*

I have been given permission by the corporate body (employer) specified in this registration to submit this registration. I acknowledge that the data I have provided in this registration, which will be used to create an account, is true and complete to the best of my knowledge.

Certified Liaison for the Province of Ontario

(20) 123 456 7890

(20) 123 456 7890

Newfoundland WCB Account Registration

Workers' Compensation Boards Account Set up for All Provinces (except Federal, ON, AB,BC & QC)

Contact Information:

Details About the Business

Section Business Other Records

Specific Business Requirements

Financial Details of the Business

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