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Touch the spacebar on your keyboard or click your mouse pointer anywhere on the screen to advance the slideshow. Vendor Management The Pre-Qualification Package and You! Section 3 – WCB information and statistics

The focus of this particular slideshow is Section 3 – “WCB Statistics” City of Fort Saskatchewan Safety Qualification Form • Thank you for choosing to work with the City of Fort Saskatchewan! • This slide show is intended to help walk you through filling in the form and providing examples of what attachments will be required.

NOTE: A recent (within 1 week) copy of the WCB Clearance letter addressed to the City of Fort Saskatchewan must be included in the safety qualification package. After that we will add you to an Despite being exempt, all employers Does the company have a WCB Account in Alberta? automatic clearance list. performing work for the City of Fort 3. WCB STATISTICS Saskatchewan must obtain and Does your company have a WCB account(s) in good standing? Yes No maintain WCB coverage for the (if yes, please attach a current WCB clearance letter addressed to the City of Fort Saskatchewan) duration of City projects. If you are an employer in an exempt category, attach your WCB clearance letter which will state that you are exempt. Section 3: WCB Statistics WCB Stats from the last 3 years 20____ Employers operating in Employers premium rate This includes coverage for owners, Alberta should have an Industry rate where owners are involved in work site active WCB account. Rate adjustment, surcharge or discount activities. There are exceptions Number of fatalities to this such as certain Number of Lost Time Injuries* industries and owners *On a separate page, briefly explain any fatalities or lost times that may have been listed. of businesses. Attach a copy of the current year WCB Employer Premium Rate Statement and the two previous years.

If you already have This portion requires these, click here. you to refer to your Premium Rate If you are not sure how Statements for the past to obtain these, click three years. here. Section 3: WCB Statistics Does the company have a WCB Account in Alberta? WCB STATISTICS 3. Does your company have a WCB account(s) in good standing? Yes No (if yes, please attach a current WCB clearance letter addressed to the City of Fort Saskatchewan) WCB Stats from the last 3 years 20____ Employers premium rate Industry rate Rate adjustment, surcharge or discount Number of fatalities Number of Lost Time Injuries* *On a separate page, briefly explain any fatalities or lost times that may have been listed. Attach a copy of the current year WCB Employer Premium Rate Statement and the two previous years.

You will need to go to the WCB Alberta webpage and create an account with “my. WCB”…. …. . click the link here…. .

…or information …and you come to the My. WCB page. from your last WCB return. You will want a few documents Questions will come available such as up during the your last invoice. . process of setting up your account.

Create your User name and password…

…click on your position. . .

Found here. …the box will expand to collect WCB account number (from the invoice page)… …and then select the category of user.

Answer any one of the questions and complete the registration process. When all the registration is complete, you will be allowed to login to the system.

Once your “my. WCB” account is crated and confirmed, login to your account on the home page.

Select the “My Claims and Costs” Tab….

… and then select “Request Claims and Premium Reports” from the drop down menu.

You will have to request the report(s) you want. In this case, “Premium Rate Statements”

Select your account number…. When the next year Premium Rate Statements become available, please remember to forward those off to us as well so we can keep your file current. …and then select the year you want. At a minimum the City will want the current year and the previous two years as well.

Within 24 hours you will have copies emailed to you and they will be now available through your my. WCB account.

The Premium Rate; Using the Premium The Rate Adjustment. The Industry Rate; Rate Statements, fill in This may be in a the following Surcharge or at a information for three Discount. years… Does the company have a WCB Account in Alberta? Section 3: WCB Statistics WCB STATISTICS 3. Does your company have a WCB account(s) in good standing? Yes No (if yes, please attach a current WCB clearance letter addressed to the City of Fort Saskatchewan) 16 20____ WCB Stats from the last 3 years 17 20____ Employers premium rate Industry rate Rate adjustment, surcharge or discount Number of fatalities Number of Lost Time Injuries* $2. 49 $2. 85 $0. 36 (-12. 5%) $2. 80 $2. 96 $0. 16 (-5. 5%) 15 20____ $2. 49 $2. 83 $0. 12 (+4. 5%) *On a separate page, briefly explain any fatalities or lost times that may have been listed. Attach a copy of the current year WCB Employer Premium Rate Statement and the two previous years.

… and write a brief summary about Fill in any fatalities or every incident that is identified. Do Lost Time Injuries not use names but describe: (LTI’s) that the company may have What happened; had for those years… Does the company have a WCB Account in Alberta? Why it happened; What corrective measures the 3. WCB STATISTICS company is taking to prevent it from Does your company have a WCB account(s) in good standing? Yes No happening again. Include this on a (if yes, please attach a current WCB clearance letter addressed to the City of Fort Saskatchewan) separate page to allow proper space 16 17 15 WCB Stats from the last 3 years 20____ for details. Employers premium rate $2. 80 $2. 49 Industry rate $2. 96 $2. 85 $2. 83 Section 3: WCB Statistics Rate adjustment, surcharge or discount Number of fatalities Number of Lost Time Injuries* $0. 36 (-12. 5%) 0 0 $0. 16 (-5. 5%) 0 0 $0. 12 (+4. 5%) 0 1 *On a separate page, briefly explain any fatalities or lost times that may have been listed. Attach a copy of the current year WCB Employer Premium Rate Statement and the two previous years.

Attach copies of the current year Premium Rate statements and the past two years. Section 3: WCB Statistics This means that if it is currently 2018, you should attach the Does the company have a WCB Account in Alberta? PRS’s for 2016, 2017 and 2018. WCB STATISTICS 3. Does your company have a WCB account(s) in good standing? Yes No (if yes, please attach a current WCB clearance letter addressed to the City of Fort Saskatchewan) WCB Stats from the last 3 years 17 20____ Employers premium rate Industry rate Rate adjustment, surcharge or discount Number of fatalities Number of Lost Time Injuries* 16 20____ $2. 49 $2. 85 $0. 36 (-12. 5%) 0 0 15 20____ $2. 80 $2. 96 $0. 16 (-5. 5%) 0 0 $2. 49 $2. 83 $0. 12 (+4. 5%) 0 0 *On a separate page, briefly explain any fatalities or lost times that may have been listed. Attach a copy of the current year WCB Employer Premium Rate Statement and the two previous years.

If you still have questions, please contact your City of Fort Thanks for Saskatchewan representative. viewing! Vendor Management The Pre-Qualification Package and You! Section 3 – WCB information and statistics