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Worker’s Declaration Form (WDF)

Type:
Downloadable forms
Last updated:
December 14, 2022
User:
Workers

The Worker’s Declaration Form (WDF) is a replacement of the Worker’s Progress Report (W3). While receiving earnings loss benefits from the WCB, you need to fill out and submit the WDF on a quarterly basis.

Download

application/pdf — 804.78 KB

How to securely upload a document

Type:
Publications
Last updated:
December 13, 2022
User:
Care providers, Workers, Employers, General

Read how to securely upload a JPEG or PDF document or form to the WCB.

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application/pdf — 532.61 KB

Cost Relief

Type:
Fact sheets
Last updated:
December 12, 2022
User:
General

A claim may be eligible for total or partial cost relief of wage loss benefits or medical costs

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application/pdf — 109.87 KB

2023 premium rate summary sheet

Type:
Fact sheets
Last updated:
December 8, 2022
User:
Employers

View the list of 2023 industry classifications and the 2023 premium rates.

Download

application/pdf — 524.78 KB

How to upload contractor information to the WCB

Type:
Fact sheets
Last updated:
December 6, 2022
User:
Employers

Read instructions on how to upload contractor information to the WCB.

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application/pdf — 1.33 MB

Preliminary rate information meeting presentation (2023 rates)

Type:
Publications
Last updated:
November 21, 2022
User:
General

Preliminary rate information meeting (2023 rates) presentation.

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application/pdf — 4.41 MB

Authorization to release information and documentation of an injured worker (WMROI)

Type:
Downloadable forms
Last updated:
November 17, 2022
User:
Workers

Authorize the release of information on your physical and mental health to the WCB.

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application/pdf — 1.3 MB

WCB's contractor reporting template

Type:
Downloadable forms
Last updated:
November 4, 2022
User:
Employers

Use this template to list all contractors you hire. You can submit this with your Employer's Payroll Statement (EPS) submission through your WCB online account.

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application/vnd.openxmlformats-officedocument.spreadsheetml.sheet — 9.93 KB

Practitioner’s Return-to-Work (PRTW) Report user manual

Type:
Publications
Last updated:
November 1, 2022
User:
Care providers

Learn how to fill out the Practitioner’s Return-to-Work Report (PRTW) as part of the return-to-work process using the PRTW user manual.

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application/pdf — 174.02 KB

Verification of Spousal Income (SREQ)

Type:
Downloadable forms
Last updated:
October 27, 2022
User:
Workers

Complete this form to confirm your income as a worker’s spouse, including from Canada Pension Plan and personal tax credits.

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application/pdf — 1.39 MB

Accreditation request – treatment team member

Type:
Downloadable forms
Last updated:
October 27, 2022
User:
Care providers

Use this form to request accreditation for a care provider joining your treatment team.

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application/pdf — 153.48 KB

Accreditation request – assessment team member

Type:
Downloadable forms
Last updated:
October 27, 2022
User:
Care providers

Use this form to request accreditation for a care provider joining your assessment team.

Download

application/pdf — 146.67 KB

Accreditation request – mental health primary level services

Type:
Downloadable forms
Last updated:
October 27, 2022
User:
Care providers

Use this form to request accreditation from the WCB to provide mental health primary level services to injured workers.

Download

application/pdf — 155.91 KB

2023 preliminary premium rate summary sheet

Type:
Fact sheets
Last updated:
October 25, 2022
User:
Employers

View the list of 2023 industry classifications and the 2023 preliminary premium rates.

Download

application/pdf — 511.75 KB

Earnings verification annual review (REQ)

Type:
Fact sheets
Last updated:
October 25, 2022
User:
Workers

Use this form for a yearly review of a worker's earnings under Section 69 of The Workers' Compensation Act, 2013, with an increase that is based on the average Consumer Price Index (CPI) for Regina and Saskatoon.

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application/pdf — 3.31 MB

Asset sales and share sales

Type:
Fact sheets
Last updated:
October 25, 2022
User:
Employers

Learn what purchasers and sellers need to do to ensure their WCB accounts are up to date if a business sells their shares or their assets.

Download

application/pdf — 526.98 KB

Verification of Income Statement (REQ)

Type:
Downloadable forms
Last updated:
October 24, 2022
User:
Workers

Complete this form to confirm your income, including from Canada Pension Plan and personal tax credits.

Download

application/pdf — 1.39 MB

2023 Industry Rate Sheet - Post-Secondary Education

Type:
Publications
Last updated:
October 20, 2022
User:
General

View the 2023 premium rate for the G11 - Post-Secondary Education rate code.

Download

application/pdf — 926.76 KB

2023 Industry Rate Sheet - Agricultural Equipment

Type:
Publications
Last updated:
October 19, 2022
User:
General

View the 2023 premium rate for the M91 - Agricultural Equipment rate code.

Download

application/pdf — 941.11 KB

2023 Industry Rate Sheet - Automotive and Implement Sales and Service

Type:
Publications
Last updated:
October 19, 2022
User:
General

View the 2023 premium rate for the C61 - Automotive and Implement Sales and Service rate code.

Download

application/pdf — 900.1 KB