Workers Compensation Board of Prince Edward Island
All the forms you need to make sure your workplace is safe, and to work with the WCB, are listed below.
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.
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
- Chiropractor Report
- Chiropractor Report: Submit Online
- Counselling Report: Fillable
- Direct Deposit Request - Vendor
- Direct Deposit Request - Vendor: Submit Online
- Fit For Work Assessment: Fillable
- Functional Scan
- Functional Scan: Submit Online
- Physician's Report: Fillable
- Physician's Report: Submit Online
- Physiotherapist Report
- Physiotherapist Report: Submit Online
Reporting An Injury
Recovery
Benefits
Health Care Providers
Insurance
- 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
- 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
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.
