Instafill.ai
7 days free
AI form filling · 293 fields · 5 pages · done in seconds

Yes! You can use AI to fill out Worker Report of Injury or Occupational Disease (WCB-Alberta Form C060)

Don't type 293 fields by hand. Tell our AI about yourself, or upload a document you already have, and it fills every field in seconds. You check it, then download, print or sign.

7 days free, then $19.99/month · Cancel anytime
AI fills it, no typingEncrypted, never used to train AICancel in two clicks
Worker Report of Injury or Occupational Disease (WCB-Alberta Form C060), page 1
Complex · 66/100Form Complexity Index

The AI does the filling. You just check it.

No typing into boxes, nothing to install.

Tell the AI about youAnswer a few questions in plain words, or upload a document you already have. That is all the typing there is.
AI fills every field in secondsIt puts each answer in the right box on every page, checkboxes included.
Check it and downloadReview every field, change anything, then download, print or sign the PDF.

What this form asks for

The AI fills all of it, from your answers or your documents.

The WCB-Alberta Worker Report of Injury or Occupational Disease (Form C060) is an official three-page form required by the Workers' Compensation Board of Alberta for workers to report a work-related injury, illness, or occupational disease and initiate a compensation claim. It captures essential details including worker and employer information, accident circumstances, injury description, medical treatment, employment type, earnings, and return-to-work status. Accurate and complete submission of this form is critical to ensuring timely processing of benefits and entitlements under the Workers' Compensation Act. Today, workers can fill out this form quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
Fillable fields293
Pages5
Sections11
Questions that depend on earlier answers15
Form Complexity IndexComplex, 66/100

The AI checks your answers before you download

16 checks built for this form, so a wrong date or a missing answer is caught before anyone else sees it.

Social Insurance Number (SIN) Format and Completeness

Validates that the Social Insurance Number contains exactly 9 digits, contains only numeric characters, and all digit boxes are filled. The SIN is a critical identifier used by WCB-Alberta for reporting to Canada Revenue Agency and for correctly linking the claim to the worker's record. If the SIN is missing, incomplete, or contains non-numeric characters, the claim cannot be properly processed or reported to CRA, potentially delaying benefit entitlement.

Accident Date Must Not Be in the Future and Must Precede Report Date

Validates that the date of accident is a valid calendar date, is not in the future relative to the submission date, and is on or before the date the accident was reported to the employer. An accident cannot logically be reported before it occurred, and a future accident date would indicate a data entry error. If this check fails, the claim timeline is inconsistent and the form must be corrected before processing can begin.

Date Accident Reported to Employer Must Be On or After Accident Date

Validates that the date the accident or injury was reported to the employer is equal to or later than the date of the accident itself. Reporting cannot precede the occurrence of the injury, and any discrepancy suggests a data entry error or potential fraud. If this logical consistency check fails, the form should be flagged for review and the worker should be asked to clarify or correct the dates.

Apprentice Journeyman Status Date Required When Apprentice Is Indicated

Validates that if the worker has checked 'Yes' for apprentice status, the field for the date they would have obtained journeyman status is also completed with a valid date. This date is necessary for WCB-Alberta to accurately calculate compensation rates and benefit entitlements specific to apprentices. If the apprentice box is checked but the journeyman date is left blank or contains an invalid date, the earnings calculation cannot be completed correctly.

Personal Coverage Number Required When Personal Coverage Is Indicated

Validates that if the worker has selected 'Yes' for having personal coverage, the coverage number field is populated with a non-empty value. The coverage number is required so WCB-Alberta can coordinate benefits with the worker's private insurer and avoid duplicate payments. If personal coverage is indicated but no coverage number is provided, the claim file will be incomplete and coordination of benefits will be delayed.

Date of Birth Is a Valid Date and Worker Is of Working Age

Validates that the date of birth is a properly formatted calendar date (Year/Month/Day), is not in the future, and results in a worker age that is consistent with legal working age (typically 14 or older) and not implausibly old (e.g., over 100 years). An invalid or implausible date of birth prevents correct identification of the worker and may affect benefit calculations tied to age. If this check fails, the worker's identity cannot be confirmed and the claim may be held pending correction.

And 10 more checks
  • Accident Time Must Have a Valid AM/PM Selection
  • Scheduled Shift End Time Must Be After Scheduled Shift Start Time
  • Accident Time Falls Within or Near Scheduled Shift Hours
  • Employer Contact Phone Number Format Validation
  • Postal Code Format Validation for Worker and Employer Addresses
  • Date First Sought Medical Treatment Must Be On or After Accident Date
  • Similar Prior Injury Requires Attached Letter with Details
  • Motor Vehicle Accident Requires Automobile Accident Report Completion
  • Employment Type Section Requires Exactly One Category Selected (A, B, or C)
  • Date Hired Must Be On or Before Accident Date

Let AI fill out your WCB-Alberta C060

No typing. Every field filled in seconds, checked, ready to sign.

7 days free, then $19.99/month · Cancel anytime

How to Fill Out WCB-Alberta C060 Online for Free in 2026

What the AI walks you through.

  1. Go to Instafill.ai and search for or upload the WCB-Alberta Worker Report of Injury or Occupational Disease (Form C060) to begin filling it out online.
  2. Complete the Worker Details section by entering your personal information including name, mailing address, Social Insurance Number, personal health number, date of birth, gender, email, occupation, apprentice status, and personal coverage details.
  3. Fill in the Employer Details section with your employer's business name, mailing address, and contact information (name, title, phone, and email).
  4. Complete the Accident Details section by providing the date and time of the accident, your scheduled shift times, the date and details of when you reported the injury to your employer, a full description of what happened, the accident location, and relevant checkboxes (cardiac condition, motor vehicle accident, prior similar injury, etc.).
  5. Enter your Medical Treatment details, including the name and address of the treating hospital or healthcare professional, the date you first sought treatment, and whether further treatment is required.
  6. On pages 2 and 3, complete the Injury Details (body part and type of injury), Return-to-Work Details, Employment Type Details (A, B, or C), Earnings Details (rate of pay, additional benefits, second job), and Hours of Work Details.
  7. Review all three pages for completeness and accuracy, then sign and date the Declaration and Consent section before submitting the form to WCB-Alberta by mail or fax.

Common Mistakes in Completing WCB-Alberta C060

The ones the AI is built to catch.

Using the wrong date format for accident and personal dates
The form requires all dates to be entered in Year/Month/Day format, but many people habitually write dates as Day/Month/Year or Month/Day/Year. This can cause WCB-Alberta to record incorrect accident dates, birth dates, or hire dates, potentially delaying or invalidating your claim. Always double-check that you are entering dates in the YYYY/MM/DD order as specified on every date field throughout all three pages. Tools like Instafill.ai can automatically format dates correctly to match the form's required format.
Failing to check the 'injury developed over time' box for gradual-onset injuries
Workers with repetitive strain injuries, occupational diseases, or conditions that developed gradually often enter a single accident date without checking the 'the injury/condition developed over time' checkbox. This omission makes it appear as though a sudden incident occurred, which can lead to incorrect claim processing or denial. If your condition developed gradually, check this box and use either the date of first medical treatment or the date you first reported it to your employer as the reference date. Additionally, for these injury types, you should call the Claims Contact Centre before submitting.
Providing a vague or incomplete description of how the injury occurred
Many claimants write only a brief sentence like 'I hurt my back at work,' omitting critical details such as the sequence of events, tools or equipment involved, weights lifted, chemicals or temperatures encountered, and specific body movements. An incomplete description can result in delays while WCB requests more information, or in a reduced or denied claim. Follow the form's example and describe exactly what you were doing, what you were using, the physical actions involved (twisting, lifting, pushing), and any environmental factors. If space runs out, attach a separate letter and check the letter-attached box.
Omitting the name, position, and contact details of the person the injury was reported to
Question 4 requires not just the date the injury was reported to the employer, but also the full name, job title, and phone number of the specific person who was informed. Workers frequently leave these fields blank or only provide the date, which makes it difficult for WCB to verify the report and can raise questions about whether the injury was properly reported. Ensure you record the supervisor's or manager's full name, their position (e.g., 'Site Supervisor'), and their direct phone number. If you could not report immediately, also provide a written reason in the designated field.
Entering an incomplete or incorrect Social Insurance Number (SIN)
The SIN must be entered digit by digit across individual boxes, and people often skip digits, transpose numbers, or leave boxes blank. Since the SIN is used to identify your record and report to Canada Revenue Agency, any error can cause your claim to be linked to the wrong person or fail identity verification. Carefully enter all nine digits of your SIN one per box, and double-check against your SIN card or official document before submitting. Instafill.ai can help auto-populate and validate your SIN to prevent transcription errors.
Selecting the wrong employment type (A, B, or C) or leaving it blank
Section 8 requires workers to select exactly one employment type — permanent year-round (A), seasonal/part-year (B), or special circumstances such as self-employed or subcontractor (C) — but many people either skip this section or select the wrong category. Choosing the wrong type directly affects how WCB calculates your compensation rate, potentially resulting in underpayment. Read each option carefully: if you work all 12 months for the same employer, choose A; if your work is seasonal or temporary, choose B; if you are self-employed, a subcontractor, or do piecework, choose C and submit a detailed income and expense statement.
Failing to report a second job or missing earnings from it
Workers who hold a second job at the time of injury often forget to disclose it in Section 9c, not realizing that WCB-Alberta can factor those lost earnings into the compensation rate. Omitting this information means you may receive a lower benefit than you are entitled to. If the injury caused you to miss time from a second job, check 'Yes,' provide the second employer's name and phone number, and attach earnings and time-missed details. Be aware that WCB may contact your second employer to verify the information.
Incorrectly reporting vacation pay and shift premiums
Section 9b asks workers to specify whether vacation pay is taken as time off with pay or paid as an additional percentage on each paycheque, and many people either leave this blank or select the wrong option. Similarly, shift premiums and overtime fields are often left incomplete even when the worker regularly receives them. These figures are used to calculate your pre-accident earnings and therefore your compensation rate, so errors or omissions can significantly reduce your benefit. Gather your pay stubs or ask your employer for gross earnings details covering the year prior to the injury date before completing this section.
Not completing the form on all three pages or forgetting to sign
The Worker Report spans three pages, and many claimants submit only the first one or two pages, or forget to sign the Declaration and Consent on page 3. An unsigned or incomplete form cannot be processed by WCB-Alberta, causing significant delays in claim adjudication. The form explicitly reminds you at the top of each page to 'complete all three pages and sign the form before sending.' Review all three pages carefully before submission and ensure your signature, printed name, and the date are on the declaration section of page 3.
Omitting the worker's name, SIN, and date of birth from the top of pages 2 and 3
Pages 2 and 3 each have fields at the top for the worker's last name, first name, initial, Social Insurance Number, and date of birth. Workers frequently leave these blank because they assume the information from page 1 is sufficient. If the pages become separated during processing, WCB will be unable to match them to the correct claim, causing delays or loss of information. Always fill in the identifying information at the top of every page, as the form explicitly instructs.
Providing a vague or missing accident location
Section 6 requires a specific street address or detailed location description of where the accident occurred, but workers often write only 'at work' or 'on the job site.' For off-site accidents, motor vehicle accidents, or remote locations, this is especially problematic because WCB needs to determine jurisdiction and circumstances. Provide a full street address if possible, or a precise description such as a highway number and kilometre marker, the name of the worksite, or — for vehicle accidents — the direction of travel. Instafill.ai can help prompt you to enter complete location details before submission.
Not disclosing a prior similar injury or failing to attach required details
The form asks whether you have had a similar injury before, and many workers either leave this blank or check 'No' to avoid complications, even when a prior injury exists. Failing to disclose a prior similar injury is considered providing false information and can result in claim denial or even criminal prosecution as noted in the Declaration. If you have had a prior similar injury, check 'Yes' and attach a letter with full details including dates, treatment received, and the outcome, so WCB can properly assess any pre-existing condition and its relationship to your current claim.

Frequently Asked Questions About WCB-Alberta C060

 

Is it really free for 7 days?
Yes. You pay $0 today. Cancel before Nov 19 and you are never charged. Keep it, and it is $19.99 a month for 5 fills of your WCB-Alberta C060.
Can I fill other forms too?
This plan is for your WCB-Alberta C060: your own AI agent fills it as often as 5 times a month. To fill other forms and upload your own, choose a Professional plan from your account.
How do I cancel?
From your account, in two clicks, any time. No email, no call.
How does the AI fill out WCB-Alberta C060?
You answer a few questions in plain words, or upload a document you already have. The AI reads what you give it and puts each answer into the right field of WCB-Alberta C060, on every page, in seconds. It checks the answers against the form's own rules, and you review and change anything before you download, print or sign.
What happens to my information?
It is encrypted in transit and at rest, and it is never used to train AI.
How complex is WCB-Alberta C060 to fill out?
WCB-Alberta C060 has a Form Complexity Index of 66 out of 100, in the complex tier: 293 fillable fields across 5 pages. Instafill.ai's AI fills it in under a minute, with every field there for you to review before you download.
What is the Worker Report of Injury or Occupational Disease (Form C060) and who needs to fill it out?
This form is used by workers in Alberta to report a work-related injury or occupational disease to the Workers' Compensation Board (WCB-Alberta). Any worker who has been injured on the job or developed an occupational disease due to their work duties should complete and submit this form to initiate a compensation claim.
How do I report the date of accident if my injury developed gradually over time rather than from a single incident?
If your injury developed over a period of time (such as a repetitive strain injury), you should indicate either the date of your first medical treatment or the date you first reported it to your employer, and check the box that says 'the injury/condition developed over time.' For repetitive strain injuries or occupational diseases, it is also recommended that you call the Claims Contact Centre at 780-498-3999 or 1-866-922-9221.
What information do I need to provide when describing what happened to cause my injury?
You should describe in your own words exactly what you were doing, including any tools, equipment, or materials you were using, any gases, chemicals, or extreme temperatures you were exposed to, and the sequence of events leading to the injury. For repetitive strain injuries, include your typical actions and how often you repeat them; if lifting was involved, state the weight. If you need more space, you can attach a separate letter.
What should I do if my injury was caused by a motor vehicle accident?
If your injury resulted from a motor vehicle accident, you must also complete the WCB Automobile Accident Report (Form L-054) in addition to this Worker Report. Send a copy of the police collision report by mail or fax once you have a claim number, and make sure to include the direction of travel when describing the accident location.
What does 'modified work duties' mean, and how do I answer that question on the form?
Your duties have been modified if your employer made changes to your regular job as a result of your injury — this includes changes to tasks or functions, workload (such as hours or work schedules), work environment or area, or equipment used. Check 'Yes' if any such changes were made, or 'No' if you are continuing your regular pre-injury duties.
What employment type should I select in Section 8 of the form?
Select Option A if you work 12 months per year with the same employer (full-time, part-time, or irregular/casual). Select Option B if you work only part of the year due to seasonal or lack-of-work layoffs (seasonal worker, summer student, or temporary position). Select Option C if you are self-employed, a sub-contractor, do piecework, or work on commission — and note that you must also submit a detailed income and expense statement if you select Option C.
Do I need to report a second job on this form?
Yes, if you have a second job, you should provide the employer's name and phone number in Section 9c. If your injury causes you to miss earnings from that second job, WCB-Alberta will consider those earnings when setting your compensation rate, and your second employer may be contacted.
What happens if I cannot report my injury to my employer immediately?
You should still report the injury as soon as possible and provide the date and name of the person you reported it to. If there was a delay in reporting, you must provide a reason for the delay in the designated field on the form. Providing an accurate date and the name and contact information of the person notified is important for processing your claim.
What personal information do I need to have ready before filling out this form?
You will need your full name, mailing address, Social Insurance Number (SIN), personal health number, date of birth, phone number, email address, occupation and job description, and date of hire. You will also need your employer's business name, mailing address, and contact details, as well as information about your earnings, work schedule, and any medical treatment received.
Do I need to sign the form, and what am I agreeing to when I sign?
Yes, you must sign the Declaration and Consent section on Page 3 before submitting the form. By signing, you declare that all information provided is true and correct, and you consent to WCB-Alberta collecting relevant information from physicians, employers, and other sources to determine your benefit entitlement. You also acknowledge your obligation to inform WCB-Alberta of any changes in your employment or work status while receiving benefits.
Where do I send the completed Worker Report form?
You can mail the completed form to WCB-Alberta at P.O. Box 2415, Edmonton, AB T5J 2S5, or fax it to 780-427-5863 or 1-800-661-1993. For questions, you can call the Claims Contact Centre at 780-498-3999 (Edmonton), 1-866-922-9221 (toll-free in Alberta), or 1-800-661-9608 (outside Alberta).
Can I use AI tools to help fill out this form?
Yes — services like Instafill.ai use AI to auto-fill form fields accurately, saving you time and reducing errors. You can upload the Worker Report form to Instafill.ai, answer a few questions, and the AI will populate the relevant fields for you, making the process faster and more straightforward.
How can I fill out this form online if the PDF is not fillable?
If the PDF version of the Worker Report is a flat, non-fillable document, you can use Instafill.ai to convert it into an interactive fillable form. Simply upload the PDF to Instafill.ai, and the platform will allow you to type directly into the form fields, check boxes, and complete the form digitally before printing or submitting it.
What should I do if I have had a similar injury before?
Check 'Yes' for the question 'Have you had a similar injury before?' and attach a separate letter with details about the prior injury, including dates, what happened, and any treatment received. This information helps WCB-Alberta assess your current claim accurately.
Do I need to complete all three pages of the form before submitting?
Yes, you must complete all three pages and sign the form before sending it. The form also reminds you to write your name, Social Insurance Number, and date of birth at the top of each page in case the pages get separated during processing.
Encrypted in transit and at restNever used to train AIDelete your forms any time

Get your WCB-Alberta C060 filled out by AI

$0 today. Cancel before Nov 19 and you pay nothing.

Other forms like this one

WCB Alberta forms: C139 – Employer’s Information Questionnaire (WCB Alberta)

occupational disease forms: Form CA-2, Notice of Occupational Disease

7 days free, then $19.99/month · Cancel anytime