C394 WAGE LOSS 2026

1. Click ‘Get Form’ to open the C394 WAGE LOSS document in the editor.
2. Begin by entering the Worker’s Claim Number and Social Insurance Number at the top of the form. This information is crucial for processing your claim.
3. Fill in the worker's personal details, including surname, first name, initials, address, and phone number. Ensure all information is accurate to avoid delays.
4. Indicate whether you will pay the worker directly for missed time due to appointments by selecting 'Yes' or 'No'.
5. If self-employed, provide necessary documentation as specified. Enter total hours missed and dates of absence from work.
6. Select the rate of pay applicable (hourly, monthly, yearly) and provide gross earnings if applicable. Include average regular hours worked per week.
7. Complete employer details including name, address, phone number, email, contact name, signature, official title, and date before submitting.

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