Workers’ Compensation Board Registration

Welcome to our WCB/MVA registration form!
We'd like to ask a few questions and make things simpler, faster, and more comfortable for you.
This form length is about 5 to 7 minutes.

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* 1. Please, tell us your personal information:

Tell us your full name:

Phone:

Email:

Address:

City:

Province:

Country:

Postal Code:

Occupation:

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* 2. Your date of birth:

Date of birth

Date

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* 3. Please, tell us about the following information:

Alberta Health Care (AHC) Number:

SIN (only if you are missing your AHC Number)

Claim Number: