Alberta Advisor Office Alberta Advisor Office

Employer's Authorization

The Advisor Office (AO) for Alberta Workers’ Compensation can provide advice about the WCB decision you are questioning, and your options for appealing. The AO can formally represent you at all levels of the WCB appeals process – WCB Customer Service, Dispute Resolution and Decision Review Body, and the Appeals Commission.

This form, when signed, allows the AO to gather information about your WCB claim(s) or account. You give the AO permission to represent you and speak with or write to WCB or about your claim(s) or account. Failure to complete all sections of this form may result in service delays.


I authorize the AO to represent me with respect to:

(One form per worker)

By signing, I authorize the AO to collect information, including personal information, about my account and claim(s) verbally, electronically, in writing, or in person from WCB for reviewing or appealing a WCB decision and providing advisory services. I authorize WCB to disclose personal information to the AO that is necessary for the purpose of providing appeals and advocacy services. This includes, but is not limited to, obtaining a copy of my account and claim files and copies of correspondence sent to me by WCB.

  • This authorization will remain in effect for 3 years from the date signed below, unless you rescind it before. To change your authorization, you must notify the AO at
  • Should you require further assistance on this matter or another matter following the expiry of this authorization, you must submit a new authorization form. We will contact you to update the authorization form about 3 months before it is set to expire.
  • This form is to be used when an employer wishes to authorize the Advisor Office to act as formal representative with respect to a claim or account matter.

The AO collects and manages personal information under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act (Alberta). The AO will use your personal information for the purpose of reviewing claim(s) within Alberta’s workers’ compensation system. The information will also be used for providing appeals advisory services on your WCB matter.

Your personal information may also be used to contact you to complete a survey. The AO will not use or disclose your personal information for any other purpose without your written consent or, unless required to do so by law. Should you have any questions pertaining to the collection of your personal information, please contact the AO toll-free at 1-866-427-0115, or

I have read the AO Service Commitment and I acknowledge the terms set out in it.

I confirm that:

  • I am the Primary Account Holder for the Employer;
  • I have the authority to sign this form on behalf of the Employer; and
  • I agree to the terms set out in this Service Request and Authorization.

Important Note: If any of the above information is not provided or is incomplete, it will cause a delay in proceeding with your file.

Form is not submitted


Advisor Office Authorization Terms

Employers Authorization

I authorize the Advisor Office to collect information, including personal information about my claim or account verbally, electronically, in writing and/or in person from the WCB for the purposes of representing the employer in relation to all WCB claims and account matters. The WCB is authorized to disclose personal information to the Advisor Office that is reasonably necessary for the purposes of providing appeals and advisory services. I authorize the Advisor Office to act on my behalf for the purposes of assisting with my claim(s), which include reviewing and /or appealing a WCB decision. The Advisor Office may make representation on my behalf and proceed with a documentary or in person hearing in my absence if the Advisor Office considers this action to be appropriate in the circumstances.

I am the Authorized Officer of the company and have the authority to represent the Employer named in Part A.

Expiry of Authorization

This authorization will expire when one of the following occurs:

  • The appeal matter has been concluded
  • The services of the Advisor Office has been concluded and are no longer required: or
  • You rescind the authorization

Should you wish to revise or rescind this authorization, you are responsible for submitting a written notification to your appeal advisor. You may also submit the request in writing to the Advisor Office at

Should you required further assistance from the Advisor Office following the expiry of this authorization; you will be required to submit a new authorization form.