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WorkSafeBC

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1. Application for authorization to conduct hearing tests under Occupational ... •••
  ...Health & Safety Regulation 7.8 Please complete this form and fax to WorkSafeBC...
https://www.worksafebc.com/en/resources/health-safety/forms/application-...


2. Form 7 Reference Guide - French version •••
  GUIDE DE RÉFÉRENCE Formulaire 7 – Rapport de l’employeur pour blessure ou maladie...
  ...employeurs à remplir le formulaire 7 Formulaire 7 Question du champ du...
https://www.worksafebc.com/en/resources/claims/guides/form-7-reference-...


3. employers-report-of-injury-or-occupational-disease-form-7 •••
  ...2. Fillable PDF form: Type in your details online, print the form, and submit...
  ...To (please check one) (yyyy-mm-dd)  am 7. Did worker report injury or...
https://www.worksafebc.com/en/resources/claims/forms/employers-report-of-...


4. Dentist's report of injury, form 382 •••
  ...space allotted at the bottom of this form. To obtain your payee number, please...
  ...“A”. - Mark the teeth to be extracted “7”. - Draw a line through the teeth...
https://www.worksafebc.com/en/resources/health-care-providers/forms/...


5. Form 63M5 information sheet, WCB of BC •••
  ...Form - Introduction The Review Division has introduced this form, Review...
  ...Review Division Submission form (“Submission form”), to assist applicants in...
https://www.worksafebc.com/en/resources/health-care-providers/forms/63m5-...


6. WorkSafeBC Authorization of Representative, form 63M4 •••
  ...of Representative Please complete this form if you wish to authorize...
  ...form in full, sign it, and return it to us. 1. Information about you Inform...
https://www.worksafebc.com/en/resources/health-care-providers/forms/...


7. Complaint to the WorkSafeBC Fair Practices Office, form 15B3 •••
  ...(FPO), please use the form below. Before you complete the form, it may be...
  ...Submit complaint form to: WorkSafeBC Fair Practices Office Fax 604.276.3103 PO...
https://www.worksafebc.com/en/resources/about-us/forms/complaint-to-the-...


8. Worker's authorization for release of personal information, form 69W1 •••
  ...process your claim. By completing this form, you authorize WorkSafeBC to...
  ...WorkSafeBC collects information on this form for the purposes of administering...
https://www.worksafebc.com/en/resources/claims/forms/workers-authorization-...


9. Physician's Report, form 8/11 •••
  ...information can be recorded on form 8/11 Addendum, Practitioner’s...
  ...the worker been your patient? 0–6 months 7–12 months > 1 year Are there prior...
https://www.worksafebc.com/en/resources/health-care-providers/forms/...


10. Generic invoice - medical and health care, form 83D128 •••
  ...total* Personal information on this form is collected for the purposes of...
  ...7: 8: 0: 9: 10: 11: 12: Fee code: 1: 2: 3: 4:...
https://www.worksafebc.com/en/resources/health-care-providers/forms/...


 
 
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