Workers Compensation Board of Prince Edward Island
All the forms an employer will need to work with the WCB are listed below. Use our Firm Number Lookup to locate your WCB Firm Number when completing the forms below, when applicable.
If you can't find what you are looking for, please contact us.
Forms
All the forms an employer will need to work with the WCB are listed below. Use our Firm Number Lookup to locate your WCB Firm Number when completing the forms below, when applicable.
Reporting an Injury
Registration and Coverage
- Account Closure Form - ES-22: Fillable
- Employer Registration Form
- Employer Registration Form: Submit Online
- Employer Registration Renewal Form: Submit Online
- Employer Payroll Revision: Fillable
- Employer Payroll Revision: Submit Online
- Independent Operator Checklist
- Payroll Reporting Guidelines
- Personal Coverage Application
Payments and Assessments
- Monthly Assessment Payment Option (MAPO) Application Form - ES-05
- Monthly Assessment Payment Option (MAPO) Application Form: Submit Online
- Monthly Assessment Payment Option (MAPO)
- Monthly Assessment Payment Option (MAPO): Submit Online
- Application for Alternative Assessment - ES-11
- Pre-Authorized Debit Application Form: Submit Online
Appeals and Access to Information
If you can't find what you are looking for, please contact us.
