Employer Registration Form

Workers Compensation Board of Prince Edward Island

WCB Online Services Help Guide:
Employer Registration Form

The following errors occurred:

Does your company have active WCB coverage, even if you operate seasonally?

Yes No Unsure

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.

Has your company ever applied for, or had, WCB coverage in the past?

Yes No Unsure

Has your company recently changed ownership and is operating under the previous owner's Canada Revenue Agency (CRA) Business Number?

Yes No Unsure

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.

* Starting month of workers:

* How often do you want to file your payroll with the WCB?

Monthly

Annually

SECTION (A) EMPLOYER INFORMATION

Business Information

* Business Name

* Address Line 1

Address Line 2

Address Line 3

* Country

* Prov/State

* City

* Postal Code

* Description of business activities

* I declare that the company information provided above is accurate and representative of my firm.

* Canada Revenue Agency Business Number:

Contact Information

* Contact Person

* Phone

Ext

Fax

Trade Name(s)

SECTION (B) PAYROLL RECORDS

Payroll records kept at:

* Address Line 1

Address Line 2

Address Line 3

* Country

* Prov/State

* City

* Postal/Zip Code

* Phone

Ext

SECTION (C) PROPRIETORS AND PARTNERS (of non-incorporated business) or OWNERS AND DIRECTORS (of corporations)

Name

Title

Phone

SECTION (D) PERSONAL COVERAGE ACKNOWLEDGEMENT

* I acknowledge that independent operators, proprietors or partners of a non-incorporated business, and owners, shareholders or directors of a corporation do not meet the definition of a “worker” under the Act. Therefore, they are not included in assessable payroll and not automatically covered under the WCB. To have the same coverage as workers, a Personal Coverage application must be made separately as set out in POL-22.

*Please select only one of the following options:

I intend to purchase WCB Personal Coverage for 2026 and will complete and submit the separate Personal Coverage application form to the WCB.

I do not intend to purchase WCB Personal Coverage for 2026.

SECTION (E) FOR OUT OF PROVINCE EMPLOYERS ONLY

Do you employ PEI resident workers? Yes No

Do you intend to work a total of 10 or more days in PEI in this calendar year? Yes No

Please note: Non-PEI resident employees who do not work a total of 10 days or more in a calendar year are not considered workers under policy POL-19, Employer Registration, and are not subject to assessment.

SECTION (F) OPERATIONS

Calculate payroll based on maximum assessable earnings per worker: 2025 – $82,900; 2026 - $89,300
(Refer to Payroll Reporting Guidelines for instructions on how to calculate Actual Assessable Gross Payroll)

* Operation Name	2025 No. of Employees	2025 Actual Gross Payroll	* 2026 No. of Employees	* 2026 Estimated Gross Payroll

* Description of Business	* Does this business operate on a seasonal basis?
	No Yes * If yes, starting month for seasonal workers:

SECTION (G) APPLICATION DECLARATION

By submitting this application, I confirm that I have read and understood the content and requirements of this application. I confirm that the information provided is complete and accurate to the best of my knowledge. I understand that it is an offence to provide false or misleading information or to omit relevant information from this application.

Typed Signature (Name)

February 27, 2026

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

* First Name

* Last Name

* Phone Number

* Email

* Email Confirmation

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: %, &, !, $, #, ^

* Create Password

* Re-type Password

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.