Wscc personal optional coverage application 2026

1. Click ‘Get Form’ to open the wscc personal optional coverage application in the editor.
2. Begin by filling in your Last Name, First Name, and Company Name. Ensure that all details are accurate for proper identification.
3. Provide your Mailing Address, City/Town, Province/Territory, Postal Code, and contact numbers including Phone Number and Cell Number. This information is crucial for communication.
4. Indicate your Employer Number and Email address. Make sure your email is correct to receive important updates regarding your application.
5. In the section labeled 'I am (check one of the following)', select the appropriate option that describes your role: director, employer, or self-employed without workers.
6. Enter your rate of compensation for personal optional coverage applications. Acknowledge this amount as it will be used by WSCC as your actual rate of compensation.
7. Specify the Optional Coverage required by entering the start and end dates in MM/DD/YYYY format.
8. Finally, print the form to sign it before submission. Ensure all fields are completed accurately before returning it to the specified address.

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