Workers Compensation Board of Prince Edward Island
All the forms you need to work with the WCB are listed alphabetically below.
You can also search for a form by topic: Safe Workplaces, Workers, Employers, or Health Care Providers.
If you can’t find the form you are looking for, we can help. Contact us.
Forms
All the forms you need to work with the WCB are listed alphabetically below.
You can also search for a form by topic: Safe Workplaces, Workers, Employers, or Health Care Providers.
Forms
- Application for Alternative Assessment - ES-11
- Asbestos Notification Permit
- Authorization for Reassignment - Form CL-01
- Call In Procedure for Lone Workers
- Chiropractor Report
- Election to Claim - Form CL-31
- Election to Claim by Dependants - Form CL-33
- Employer Registration Form
- Employer's Report - Form 7
- Employer's Report - Form 7: Submit Online
- Employer's Request for Release of File - Form D
- Fitness For Work Assessment
- Functional Scan
- Hearing Loss Questionnaire
- Incident/Injury Investigation Report Form
- Inspection Schedule
- Interjurisdictional Election Form - CL-52
- Monthly Assessment Payment Option (MAPO)
- Monthly Assessment Payment Option (MAPO) Application Form - ES-05
- Multimedia Loan Request Form
- Personal Coverage Application Form
- Physician's Report - Form 8
- Physiotherapist Report
- Progressive Injury Questionnaire
- Request For Internal Reconsideration
- Right of Action Determination
- Sample JOSH Committee Minutes
- Sample OHS Safety Policy
- Sample Procedure for Lone Workers
- Sample Workplace Inspection Report Form
- Violent Incident Report Form
- Worker's Authorization For Release Of Information - Form B
- Worker's Expense Claim
- Worker's Report - Form 6
- Worker's Request For Release Of File - Form A
If you can’t find the form you are looking for, we can help. Contact us.


