Workers Compensation Board of Prince Edward Island
WCB Online Services Help Guide:
Employer Registration Form
Employer Registration Form
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Notice: The WCB corporate website and Online Services will be unavailable Sunday, April 28 between 8:00 AM and 9:00 PM to allow for scheduled maintenance. We apologize for any inconvenience this may cause.

This form is ONLY for companies that meet AT LEAST ONE of the criteria below:
  • Is a company that has never been registered for WCB Coverage before
  • Is a company that changed ownership
If you have a company with active WCB coverage, you may file your registration renewal using Online Services.

If you previously had WCB coverage but are not currently active, phone Employer Services at the number below to reinstate coverage.

Contact WCB Employer Services at (902) 368-5680 or safetymatters@wcb.pe.ca if you are unsure which applies to your company or if you have any questions.


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)
April 27, 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
The password you create will be case-sensitive. Your new password must be at least 8 characters long (to a maximum of 15 characters), 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.
  • Uppercase letter
  • Lowercase letter
  • Number
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.