Group Audit Registration Form

To request a group COR audit of related employees, please complete the form below. This form includes Appendix H1 and H2, available via the button below.

Prefer a printable version? You can also download the PDF form directly.

Download PDF Audit Form

Step 1 of 2

Date of Application(Required)

Proposed Audit Start Date(Required)

Provide the following information about the related employers in the group.(Required)

Employer Legal Name (and Trade Name)

WCB Account Number

WCB Industry Code(s)

List of Shareholders in Common

Upload Sheet

Drop files here or

Max. file size: 8 MB, Max. files: 3.

Please describe the organization structure of the group or attach an organization chart or diagram to illustrate the relationship between the companies.(Required)

Upload Sheet

Drop files here or

Max. file size: 8 MB, Max. files: 3.

Are the companies managed together?(Required)

If yes, please describe how common management control is exercised. Please list and describe the responsibilities of any key management positions that are shared between the employers.

Do the employers listed above share one common health and safety management system?(Required)

If yes, please describe and list any common health and safety activities,including whether health and safety personnel are shared between these employers.

Applicant Information

Name (Please note this form must be signed by the company president, director, or senior officer.)(Required)

First Name Last Name

Position/Job Title(Required)

Group Audit Registration Form

To request a group COR audit of related employees, please complete the form below. This form includes Appendix H1 and H2, available via the button below.

Prefer a printable version? You can also download the PDF form directly.

Applicant Information

Sampling Table for Group Audit of Related Employers