2025 Printable Template
This website is not affiliated with any government agency or tax authority.
Form last updated: 03/2024. Please verify this is the current version before use.
Easily complete & submit your C-11 form
Follow these simple steps to fill, sign, and send your C-11 form online.
Fill out your form
Our user-friendly editor helps you quickly enter personal & business details in the C-11 template.
Sign the form
Add your electronic signature to the fillable C-11 form to certify it came directly from you.
Send it to the requester
Download and instantly print or share your signed C-11 with the requester.
What is a C-11 used for?
Form C-11 is used by employers to report workplace injuries or illnesses to the Workers' Compensation Board. This form is essential for initiating a workers' compensation claim, ensuring that employees receive benefits for medical costs and lost wages due to work-related incidents.
Who needs to fill out a C-11 form
Employers who need to report a work-related injury or illness involving their employees.
How to fill out a C-11 online?
Follow these steps to complete your C-11 form online.
Frequently Asked Questions
Find quick answers to common questions about our PDF editor.
Form C-11 is used by employers to report workplace injuries or illnesses to the Workers' Compensation Board.
The form should be submitted promptly after a work-related injury or illness, typically within a specific timeframe set by the Workers' Compensation Board.
Employers are generally required to sign Form C-11 before submission.