Workers Compensation Board of Prince Edward Island
WCB Online Services Help Guide:
Employer Registration Form
Employer Registration Form
The following errors occurred:

Sign into our Online Services to submit your registration renewal online, or click here to sign up for our Online Services. A printable version of the renewal form is available here.




Contact WCB Employer Services at (902) 368-5680 or email safetymatters@wcb.pe.ca to discuss registration options available to your company.


More information about registering with the WCB can be found in the Employer Registration FAQ.

* required
PAYROLL REMITTANCE PREFERENCE
WCB Employers have the choice of remitting payroll & assessment payments on an annual or monthly basis. Both annual and monthly filing and payment remittances can be performed online.
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SECTION (A) EMPLOYER INFORMATION
Business Information
* I declare that the company information provided above is accurate and representative of my firm.
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Contact Information
Trade Name(s)
SECTION (B) PAYROLL RECORDS
Payroll records kept at:
SECTION (C) PROPRIETORS & PARTNERS (non-incorporated business) or OWNERS & DIRECTORS (corporation)
Name
Title
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SECTION (D) OPERATIONS
See the Payroll Reporting Guidelines for instructions, if required, to calculate Actual Assessable Gross Payroll.
* Operation Name 2023 No. of Employees 2023 Actual Gross Payroll * 2024 No. of Employees * 2024 Estimated Gross Payroll
* Description of Business * Does this business operate on a seasonal basis?
* If yes, starting month:
SECTION (E) DECLARATION
By submitting this form, I certify and declare that I am authorized to make this application on behalf of the employer applying for coverage and that the information provided in this application is true and correct to the best of my knowledge and belief. I am aware that any person who knowingly provides false or misleading information to the Board may be committing an offence anyd may be liable to prosecution.
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Typed Signature (Name)
November 21, 2024
Date
The following information is captured to create an Online Services user profile which will become activated once your firm is registered with the Workers Compensation Board of PEI.
USER PROFILE INFORMATION
Profile Information
Your password is case-sensitive and must be at least 12 characters long, cannot include three or more consecutive characters from your first or last name, and must contain a minimum of one character from each of the groups below.
  • English uppercase letter
  • English lowercase letter
  • Number (0 through 9)
  • Special character. Examples: %, &, !, $, #, ^
Role
As the initial user profile created for your company you will be given the role of WCB Account Administrator. You will be responsible for creating and assigning roles for each of your staff that will require access to Online Services.
* I acknowledge that I am a duly authorized representative of the company with permission to view all data pertaining to financial and claim information.
Please contact Employer Services via phone (902) 368-5680, toll-free (Atlantic Canada) 1-800-237-5049, or email if you have any questions about your account.
Information on this form is collected for the purposes of administering and enforcing the Workers Compensation Act and is collected under the authority of that Act and section 31 of the Freedom of Information and Protection of Privacy Act. If you have any questions about this collection of information, please contact: FOIPP Coordinator, Workers Compensation Board of PEI, 14 Weymouth Street, P.O. Box 757, Charlottetown, PE C1A 7L7, (902) 368-5680, toll free at 1-800-237-5049 or accessandprivacy@wcb.pe.ca.
Your opinion is important to us. To improve services, the WCB may contract an independent survey company to survey a sample of employers. The WCB does not know which employers will be contacted. If you are contacted, we encourage you to participate. The research company does not share your personal responses with the WCB.