C394 2026

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The document is a form related to wage loss compensation for a worker who must attend an appointment concerning their claim. It outlines the necessary information required from the worker, including personal details, appointment specifics, and employment information, to facilitate reimbursement for lost earnings due to attending the appointment.

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Click ‘Get Form’ to open the c394 in the editor.
Begin by entering the worker's name, claim number, and social insurance number in the designated fields.
Fill in the address details including street, city/town, province, and postal code.
Provide the date of the accident using the format Year/Month/Day.
Indicate whether you will pay the worker directly for time missed by selecting 'Yes' or 'No'. If applicable, provide additional details.
Specify if the worker is self-employed by checking 'Yes' or 'No'.
Document the time missed from work and list any specific dates when appointments occurred.
Enter the rate of pay and specify if it is hourly or daily. Include gross income details if required.
Complete sections regarding hours worked per week and usual days off by circling appropriate days.
Finally, fill in employer's name and contact information before signing off on the form.

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