WORKSAFEBC
RESET Self-Managed Care (SMC) Monthly reConCiliation report You must provide this report on a monthly basis and in a satisfactory manner in order to facilitate the processing of your future care services payment. Your bank statement must be attached. When filling in the form, please PRINT in INK and FAX to: CLAIMS CALL CENTRE Phone 604 231-8888 Toll-free 1 888 967-5377 FAX 604 233-9777 Toll-free 1 888 922-8807 First name Address line 2 Province/state Country (if not Canada) Payee number Postal MoreWhen filling in the form, please PRINT in INK and FAX to: CLAIMS CALL CENTRE. FAX. Phone 604 231-8888. 604 233-9777. Toll-free 1 888 967-5377 ... Less
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