C504 WORKER'S PROGRESSIVE INJURY ... - WCB Alberta - wcb ab 2026

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The document is a Worker's Progressive Injury Questionnaire designed to collect information from workers regarding their injuries related to work. It includes sections for personal details, job title, symptoms experienced, tasks performed, medical history, and treatment received. The questionnaire aims to determine if the injury is work-related and requires detailed responses about the nature of the injury, its impact on work activities, and any previous injuries.

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How to use or fill out C504 WORKER'S PROGRESSIVE INJURY ... - WCB Alberta

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Claim Number, Worker’s Name, Personal Health Number, and Date of Birth in the designated fields.
Indicate whether you will be off work due to this injury by selecting 'Yes' or 'No'.
Provide details about your job title and describe a typical workday, including any changes that may have contributed to your symptoms.
Check all relevant symptoms you are experiencing and specify when they were first noticed.
Indicate the location of your symptoms and whether you are right or left-hand dominant.
List tasks performed at work that may cause or increase your symptoms, along with how often these tasks are done.
Document any medical treatments received for this condition and list any medications currently being taken.
Finally, provide additional information regarding previous injuries, hobbies, and activities affected by your injury before signing and dating the form.

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What is the maximum assessable earnings for 2022 WCB Alberta?

On January 1, 2022, the maximum assessable/insurable earnings will increase from $64,500 to $69,000.

What is the max WCB for 2022?

Maximum Assessable / Insurable Earnings 20162022Nova Scotia$58,200$69,000New Brunswick$61,800$69,200Qubec$71,500$88,000Ontario$88,000$100,4228 more rows

What is the WCB rate for 2022 in Alberta?

means Albertas employers will see the average premium rate increase only 3 cents to $1.17, rather than the $1.42 rate that would otherwise be required to cover all forecasted 2022 claim costs.

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What is the maximum assessable earnings?

The Maximum Assessable/Insurable Earnings (maximum earnings) refers to maximum annual earnings on which premiums are calculated for each worker of a covered employer, and on which benefits are calculated for those who are injured at work.

How much do you get paid on WCB Alberta?

In most situations, your WCB benefit rate is based on 90% of net earnings. If your net earnings are less than or equal to minimum average earnings, your benefit rate will be 100% of net earnings.

What are the new WCB rules in Alberta?

Workers with a date of accident on or after January 1, 2021, will be compensated at 90% of their yearly net earnings, to a maximum of $98,700. This maximum amount covers full wages for approximately 93% of Albertans. Cost-of-living adjustment (COLA) calculation is set annually by the WCB Board of Directors.

What is the compensation rate for WCB Alberta?

Compensation benefits are based on 90% of your net income, payable up to the 2021 maximum amount ($98,700 in 2021). This means if you earn more than the maximum, your compensation rate is based on the maximum amount.

What is assessable earnings in Alberta 2022?

Assessable earnings are the amount used to determine employer premiums. The earnings will be capped (per worker) at the MAE. In 2022 the MAE is $98, 700 and in 2023, the MAE is $102,100.

C504 WORKER'S PROGRESSIVE INJURY ... - WCB Alberta - wcb ab 2026

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How to use or fill out C504 WORKER'S PROGRESSIVE INJURY ... - WCB Alberta