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Wscc personal optional coverage application 2026
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- Click ‘Get Form’ to open the wscc personal optional coverage application in the editor.
- Begin by filling in your Last Name, First Name, and Company Name. Ensure that all details are accurate for proper identification.
- 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.
- Indicate your Employer Number and Email address. Make sure your email is correct to receive important updates regarding your application.
- 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.
- 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.
- Specify the Optional Coverage required by entering the start and end dates in MM/DD/YYYY format.
- 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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