Get Canada Wcb C-504 2016-2025

The Canada WCB C-504 form is essential for reporting a progressive injury and assessing its work-relatedness. This guide will provide you with a comprehensive overview of how to fill out this form online, ensuring that you complete it accurately and effectively.

Follow the steps to fill out the Canada WCB C-504 form online.

1. Click ‘Get Form’ button to access the C-504 form online and open it in the editor.
2. Begin by entering your claim number at the top of the form. This information is crucial for tracking your submission.
3. Fill in your personal details including your full name, address, personal health number, and date of birth.
4. Indicate whether you will be off work due to this injury by selecting 'Yes' or 'No'.
5. Provide your job title and describe your typical workday in the designated field.
6. State how long this has been your typical workday and detail any changes that may have caused or increased your symptoms.
7. In the symptoms section, check all boxes that apply to your experience, such as aching, numbness, or pain.
8. Document when the symptoms first appeared and the specific locations of the symptoms on your body by checking the appropriate boxes.
9. Indicate your dominant hand and describe the tasks you perform at work, specifying which tasks may cause or increase your symptoms.
10. Provide information regarding the frequency and duration of each task you perform.
11. List any scheduled breaks you take, including their duration and frequency.
12. Detail any medical treatments you have received related to your condition, along with the names of healthcare providers.
13. Answer questions regarding previous conditions, medications, and other injuries, providing detailed explanations as required.
14. Reflect on any activities you can no longer do due to your injury and provide additional information if necessary.
15. Complete the form by signing and dating it, and include your best contact number.
16. At the end, save your changes, and choose to download, print, or share the form as needed.

Take the first step towards your compensation by completing your Canada WCB C-504 form online now.