C1040 - Election To Claim Under The Ab Wcb - Workers' Compensation Board (Page 2 of 2) in pdf

C1040 - Election To Claim Under The Ab Wcb - Workers' Compensation Board Page 2

THE WORKERS’ COMPENSATION ACT

EXTRACT FROM SECTION 29 (1)

Agreements with other provinces or territories

29 (1) The Board may enter into an agreement with the workers’ compensation board or similar body

in another province or territory to provide for the payment of compensation for injuries to

workers who are employed under conditions such that part of the work incidental to the

employment is performed in Alberta and part of the work is performed in that other province or

territory, in order to ensure that those workers or their dependants receive compensation either

in conformity with this Act or in conformity with the Act in force in the other province or territory

relating to workers’ compensation and to avoid a duplication of assessments.

EXTRACT FROM SECTION 36

Board’s entitlement to information

The Board may require from any person entitled to compensation, whether a worker or

dependant, particulars of that person’s place of residence, address and other information

relative to the disability and compensation, that it considers necessary, and pending the receipt

of those particulars the Board may withhold compensation payments.

1981 cW-16 s31

INTERJURISDICTIONAL AGREEMENT ON

WORKERS' COMPENSATION

EXTRACT FROM SECTION 4.1

Election by Beneficiary

4.1

Where there may be entitlement to benefits in more than one jurisdiction, the beneficiary shall

be required by the Adjudicating Board to elect not to claim from other jurisdictions if the claim is

accepted, and the Adjudicating Board shall advise the other jurisdictions where the claim could

be made, of the election, adjudication and disposition of the claim.

*C1040*

C – 1040 REV MAY 2011

C1040 - Election To Claim Under The Ab Wcb - Workers' Compensation Board Page 2