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- Click ‘Get Form’ to open the worksafebc 25w 78 in the editor.
- Begin by entering your last name, first name, and middle initial in the designated fields. Ensure accuracy as this information is crucial for identification.
- Input your WorkSafeBC claim number at the top of the form. This helps streamline your claim process.
- Fill out the incident details, including the date and location of the accident or occupational disease. Be specific about where you were employed at that time.
- If applicable, indicate whether you have applied for benefits from another province or country. Choose between claiming benefits in British Columbia or another province.
- Complete sections regarding motor vehicle accidents or other incidents, providing necessary details such as insurance information and police involvement.
- For fatal claims, list all dependants along with their dates of birth and relationships to the deceased.
- Finally, sign and date the application at the bottom of the form. Ensure a witness signature if required.
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