worksafebc incident report form
wcb incident report form
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wcb form 6a
worksafe form 7
worksafebc form 7a
WCB Form 6 - Worker's Report of Injury or Occupational Disease to WorkSafeBC. Application for compensation and report of injury or occupational disease. WorkSafe BC: Form 6: Application for Compensation & Report of Injury or Occupational Disease. Root Category. Health & Safety - Manuals & Procedures. This official WorkSafeBC form is for the worker to report an injury or occupational disease and start a claim. WorkSafeBC claim number Personal health number (from BC CareCard) 6. Date of first aid (yyyy-mm-dd). 7. Name of first aid attendant. 8. Did you go to the Please ensure that this report is signed and submitted by mail or fax. 6. 1. Date and time of WorkSafeBC (WCB)? (DO NOT include any wage loss. YES. NO. 14 Mar 2014 The following guide to filling out the WorkSafeBC “Form 6 – Application for Compensation and. Report of Injury or Occupational Disease” is Further, I acknowledge that WorkSafeBC may disclose information from my claim to my employer for purposes of appeal, or may disclose such infomation. You can file your worker incident/injury report (Form 6) online. You can create an online services account so you can log on later to see more details about your 3. submit the paper form – Clearly PRINT your information on the form below, 6. (R01/12) Page 1 of 3 information about you. WorkSafeBC claim number (if
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