820 wcb pdf 2026

1. Click ‘Get Form’ to open the 820 wcb PDF in the editor.
2. Begin by entering the Employer's FEIN No. and W.C.B. Plan No. in the designated fields at the top of the form.
3. Fill in the Name of Employer and Name of Carrier, ensuring accuracy for proper identification.
4. In the Schedule of Benefits and Contributions section, input details for Weekly Cash Benefits, including Weekly Benefit amounts and Maximum Duration in weeks.
5. Complete the Hospital section by specifying Waiting Periods and Daily Benefits, along with Maximum Duration in days.
6. For Surgical benefits, indicate the Largest Scheduled Payment and attach any necessary schedules.
7. Provide information on Employee Contributions as required, ensuring all sections are filled accurately.
8. Review your entries for completeness before saving or exporting your completed form.

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