Forms

Workers Compensation Board of Prince Edward Island

Forms

If you are an employer, you will find all the forms you need to work with the WCB below.

If you can't find what you are looking for, or would like a copy of one of our forms, please contact us.

Use our Firm Number Lookup to locate your WCB Firm Number when completing the forms below, when applicable.

Reporting an Injury

Registration and Coverage

Payments and Assessments

Appeals

All WCB forms are listed alphabetically in the WCB Information section of this website.

September 13, 2019

Feedback requested on Occupational Health & Safety Regulations - Asbestos

The Occupational Health and Safety (OHS) Advisory Council is requesting feedback on proposed amendments to the OHS Act General Regulations related to asbestos. The consultation summary and draft regulations have been posted on the Legislative Feedback page of the Workers Compensation Board website, www.wcb.pe.ca/Information/LegislativeReview under the heading, "OHS Act Regulations for Asbestos." The Council encourages stakeholders to provide feedback on the proposed changes by October 13, 2019, using the online feedback form.

July 16, 2019

WCB reports 2018 highlights at Annual Public Meeting

The Workers Compensation Board (WCB) released its 2018 Annual Report today at their Annual Public meeting. “We are pleased to report the highlights from the past year,” said WCB Board Chair Stuart Affleck. “Our strong funded position allowed us to continue to reduce assessments, provide a surplus distribution to Island businesses, all while increasing benefits and services for injured workers.” In 2018, the WCB introduced presumptive coverage for trauma and stressor related disorders; prepared for new legislation that presumes that specific cancers and heart injuries among firefighters are work-related; prepared several resources for employers and clinicians alike; and distributed over $430 thousand in grant funding to support training and innovative workplace solutions that will improve health and safety and return to work. In addition to legislative changes, there were many enhancements to WCB Policies, including enhancements to the Home Modifications Policy and increases to the Lump Sum Death Benefit. “We were pleased to report on the many accomplishments of 2018, and we look forward to the important work ahead of us in our new five year Strategic Plan, which is a product of great collaboration and insight from our Stakeholders,” said WCB Chief Executive Officer Cheryl Paynter. 2018 Stats at a Glance 5,828 assessed employers1,956 claims adjudicated 2,624 inspections completed by OHS Officers475 OHS Education & Training Sessions Biennial Injured Worker Survey- Satisfaction Index increased to 76.2 in 2018 from 71.4 (2016) Funded Status of 146.3% as of December 31, 2018, down from 165.4% in 2017$21.9 million surplus distribution to employers In 2018, the WCB had investment losses of $4.4 million dollars (-1.32%) ending a 9 year run of positive annual investment returns, averaging just over 10%.Average assessment rate down to $1.60, from $1.70 in 2017 and $2.16 in 2009 A full copy of the WCB Annual Report, can be found here.

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