C060 form 2025

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167 votes

The document is a Worker Report of Injury or Occupational Disease form used for reporting workplace injuries in Alberta, Canada. It collects detailed information about the worker, employer, accident details, injury specifics, and return-to-work status. The form emphasizes the legal obligations of the worker to provide accurate information and cooperate with the Workers' Compensation Board (WCB) during the claims process.

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Click ‘Get Form’ to open the c060 form in the editor.
Begin by filling out your personal details in the 'Worker Details' section. Include your last name, first name, mailing address, social insurance number, and date of birth.
In the 'Employer Details' section, provide your employer's business name and contact information. Ensure you include any relevant dates regarding your employment.
Next, detail the accident in the 'Accident Details' section. Specify the date and time of the accident, along with a thorough description of what occurred.
Complete the 'Injury Details' section by indicating what part of your body was injured and describing the type of injury sustained.
Finally, review all sections for accuracy and completeness before signing at the end of the form. Make sure to complete all three pages.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (142 Votes)
2020	4.1 Satisfied (32 Votes)
2019	4.2 Satisfied (65 Votes)
2018	4.3 Satisfied (167 Votes)
2014	4.4 Satisfied (341 Votes)
2013	4 Satisfied (32 Votes)

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