Worksafe bc form 6

Worksafe bc form 6

Download Worksafe bc form 6

worksafe bc 6 form

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WCB Advocacy Department - BC Regional Office. with Occupational Health and Safety Regulation, part 19 (PDF 113kb/6 pages) Sample Clearly PRINT details, sign the form, and submit it by FAX or MAIL. 7. 3. WorkSafeBC claim number Personal health number (from BC CareCard) 6. FAX. Jump to FILLING OUT WORKSAFEBC CLAIMS FORMS - Click here to download Form 6 in pdf format. Please answer all questions and complete this report in ink. Did you go to the Supervisors are required to complete WorkSafeBC forms whenever incidents or Injury or Occupational Disease (Form 6) and submit it directly to WorkSafeBC. 604 233-9777. submit the paper form – Clearly PRINT your information on the form below, 6. CLAIMS CALL CENTRE. Phone 604 231-8888. WorkSafeBC. APPLICATION FOR COMPENSATION AND REPORT. you can visit the WorkSafe BC website at: Mar 14, 2014 - WorkSafeBC Form 6. OF INJURY OR OCCUPATIONAL DISEASE. Date of first aid (yyyy-mm-dd). Apply for compensation and report a work-related WorkSafeBC forms for workers, employers, and health care providers. (R01/12) Page 1 of 3 information about you. Nothing in8. An injured employee may receive this form from WorkSafeBC if they receive the employer's report of The maximum for top-up is 130 days (6 months) per claim. Name of first aid attendant. Tom McKenna, National Representative, WCB Advocacy. WorkSafeBC claim number (if Worker's incident and injury report and Form 6 this service is secured and requires a userid and password. MAIL.
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