C 040 2026

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  1. Click ‘Get Form’ to open the c 040 in the editor.
  2. Begin by selecting the appropriate claim type at the top of the form. Choose between Time Lost, Modified Work, or No Time Lost based on your worker's situation.
  3. Fill in the Worker Details section with accurate information including last name, first name, Social Insurance Number, and date of birth.
  4. In the Employer Details section, provide your business name and contact information for follow-up regarding the claim.
  5. Detail the Accident Information by specifying the date and time of the incident, along with a thorough description of how it occurred.
  6. Complete all relevant sections on pages two and three regarding Return to Work Details and Earnings Details to ensure comprehensive reporting.
  7. Review all entries for accuracy before signing and submitting through our platform for a streamlined process.

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Versions Form popularity Fillable & printable
2021 4.8 Satisfied (27 Votes)
2019 4.3 Satisfied (55 Votes)
2018 4.4 Satisfied (59 Votes)
2011 4.9 Satisfied (39 Votes)
2006 4.4 Satisfied (62 Votes)
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