Apply online now
Complete this online registration form to apply now for Workplace Insurance Coverage, including Special Protection Coverage.
You will need the following information to register:
- Contact information of person completing this form
- Email address
- Full legal name, birth date and contact information of proprietors, partners or active directors if required
- Canada Revenue Agency Number (CRA #) if you have one (e.g., 9-digit account number such as a GST/HST account number, unique to a firm)
- Date when the third worker was hired.
If you have problems completing the online registration form, please contact us at 1-877-211-9267 and we’ll be happy to help you through the process.
Other ways to register:
By mail or fax. If you cannot complete the registration online, please contact us 1-877-211-9267 to receive a paper registration form that can be returned by mail or fax.
Questions about employer registration or coverage? Contact us at 1-877-211-9267 or at email@example.com.