Saturday, December 21, 2024
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Welcome:
Account Registration
Information
Address
Contact
Business
Company Operations
Personal Coverage
Payment Options
Company Information
Instructions
Please submit this application if you:
a) are currently employing workers (full-time or part-time) and/or
b) require personal coverage for directors, owners or partners
c) need a clearance letter
An initial payment of $200 is required to qualify for clearances on newly-issued WCB accounts. The payment is applied against your first invoice.
Please enter 'Legal Business Name or Applicant Name' information in UPPERCASE.
*NEW* If you have a CRA Business Number, please enter your 9 digit number. This information will be used for statistical purposes only.
A WCB representative will contact you within five business days of receiving your application.
Fields marked with an asterisk (*) are required.
Company Identification
Legal Business Name or Applicant Name:
*
Operation/Trade Name (if applicable):
CRA Business Number:
9-digit number e.g. 123456789
Business Type
*
Please describe your business:
Individual/Proprietorship
Partnership
Limited/Incorporated
Other
Please describe:
*
Other Information
Website (if available):
Have you or this business organization ever been registered with WCB-Alberta under the above name or any other business name?:
*
Yes
No
WCB-Alberta Account Number(s):
Name on previous WCB-Alberta account:
*
Have you purchased this business?:
*
Yes
No
Previous Legal Business Name:
*
Date Purchased:
*
Previous WCB Account Numbers:
Previous Owner Contact Name(s):
*
Phone Number:
*