Worksafebc worker claim form 2026

1. Click ‘Get Form’ to open the worksafebc worker claim form in the editor.
2. Begin by filling in your personal details, including your last name, first name, and personal health number. Ensure that all fields are completed accurately.
3. Provide your mailing address for payment, including city, province/state, postal code/zip, and country if not in Canada. Indicate if your address has changed in the last six months.
4. Enter your daytime phone number and WorkSafeBC claim number. Describe the nature of your injury or illness clearly.
5. List each prescription separately in the provided table. Include quantity, name of medication, date of purchase, drug identification number (DIN), intended use, amount paid by you, and the prescribing physician's name.
6. Review all information for accuracy. Sign and date the form at the bottom to certify that you incurred these expenses and understand the implications of misrepresentation.
7. Finally, ensure you have included copies of receipts as required before submitting your form.

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