WSB Registration

Your Order Number*
Your Business Legal Name*
Business Phone Number*
Authorization*
- I am authorized to submit this registration on behalf of the legal entity (employer) named in this registration. I acknowledge that the information submitted in this registration is accurate and complete to the best of my knowledge and will be used to establish an account.

Contact Information:
Who is providing the details to establish the firm's registration? You may be contacted for further information regarding this registration.
Full Name*
First Middle Last
Email*
Relationship to this Applicant*

Details About the Business
Select the type of business that best describes*
Is this a movie or television production company?*
Is this a publicly traded company?*
- Show Instructions
Publicly traded refers to a company whose shares are traded on an organized stock exchange, in contrast with a private company, whose shares can be bought only with the agreement of the owners.
Does the firm hire subcontractors?*
*Does the firm perform work under subcontract?*
Does the firm currently employ or intend to employ a worker besides the shareholder(s)? A worker may be employed on a full-time, part-time, casual or temporary basis.*

Business Other Records
Has this firm or any of its principals been previously registered with WorkSafeBC? Please include any affiliated firms currently or previously registered with WorkSafeBC.*
Number of active shareholders*
Is the firm paid directly by the general public for goods or services?*

Specific Business Requirements
Is the firm involved in the trucking or courier industry?*
What type of trucking or courier service does the firm provide?*
Does the firm drive into other provinces?*
Does the firm conduct business in other provinces or countries?*
Is the vehicle used to perform work in the trucking or courier industry owned by the firm or leased?

WSB Registration.

Make	Model	Year