Forms

Workers Compensation Board of Prince Edward Island

Forms

All the forms you need to make sure your workplace is safe, and to work with the WCB, are listed below.

Health and Safety

Work-Related Injury

Reporting An Injury

Recovery

Ease Back Journal

Benefits

Health Care Providers

Insurance

Registration and Coverage

Payments and Assessment

Appeals and Access to Information

You can also search for a form by topic: Health and Safety, Workers, Employers, or Health Care Providers.

If you can’t find the form you are looking for, we can help. Contact us.

April 23, 2024

Three days left to register!

THREE DAYS left to register for the 2024 Workplace Health and Safety Conference! Deadline --» APRIL 25, 2024. All the details and online registration here.

April 21, 2024

National Day of Mourning is for remembering and honouring

Each year in Canada, we take April 28 to remember workers we lost to work-related injuries and illnesses with a National Day of Mourning. Canada was the first country to commemorate this day which is now observed in over 100 countries around the world. “Sadly, in 2023, one Islander lost their life due to a work-related injury or illness,” said Jim MacPhee, Chair of the Workers Compensation Board (WCB). “The WCB is dedicated to continuing its work to build safe and healthy workplaces and prevent further work-related fatalities, injuries and illnesses from happening.” “On this day our thoughts and prayers are with the families of those who lost their lives on the job. We remember them and mourn their loss,” said Carl Pursey, President of the PEI Federation of Labour. “We must continue to work together to make all of our workplaces safer so there are no injuries or deaths.” There are many ways Islanders can show their support on the National Day of Mourning. Please consider: Displaying a Day of Mourning poster in the workplace Wearing a Day of Mourning lapel sticker on April 28 Lowering workplace flags at half-mast Observing a moment of silence Viewing a video on the Day of Mourning from the Canadian Centre on Occupational Health and Safety (CCOHS) Attending the ceremony hosted by PEI Federation of Labour: Day of Mourning Ceremony 7:00 p.m. on Sunday, April 28, 2024 St. Paul’s Hall, 101 Prince St., Charlottetown For information on workplace fatality data in Prince Edward Island: https://bit.ly/3vVtDvt The WCB serves over 6,600 employers and over 84,000 workers throughout Prince Edward Island. It partners with employers and workers in building safe and healthy workplaces and supports recovery, if an injury occurs, through the administration of the Workers Compensation Act and the Occupational Health and Safety Act. Serious work-related injuries and explosions must be reported by calling the 24-hour Occupational Health and Safety Emergency Line at 902-628-7513. Aussi disponible en français.

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