Get the free WorkSafe BC: Form 6

APPLICATION FOR COMPENSATION AND REPORT OF INJURY OR OCCUPATIONAL DISEASE Please answer all questions and complete this report in ink. Incomplete applications may have to be returned resulting in

How to fill out worksafe bc form 6

How to fill out WorkSafe BC Form 6:

1. Start by entering your personal information, such as your name, contact details, and social security number, in the designated fields.
2. Next, provide details about your employer, including their name, address, and contact information.
3. Indicate the date and time of the incident or injury that occurred, as well as the location where it took place.
4. Describe the nature of the incident or injury in detail, including the body parts affected and the circumstances surrounding the event.
5. If there were any witnesses present, include their names and contact information.
6. Provide information about any medical treatment received, including the name of the healthcare provider and the dates of treatment.
7. Document any time missed from work due to the incident or injury, specifying the start and end dates.
8. If applicable, indicate whether you are seeking compensation for lost wages or other expenses, and provide supporting documentation if required.
9. Finally, review the filled out form for accuracy and completeness before signing and dating it.

Who needs WorkSafe BC Form 6:

1. Employees who have suffered an injury or illness in the workplace are required to fill out WorkSafe BC Form 6.
2. Employers should also ensure that their employees fill out this form in case of a workplace incident or injury.
3. Healthcare providers may also use this form to report an incident or injury on behalf of the injured employee.

For pdfFiller’s FAQs

What is worksafe bc form 6?

WorkSafeBC Form 6 is an Employer's Report of Injury or Occupational Disease form that must be completed and submitted by employers when an incident occurs in the workplace.

Who is required to file worksafe bc form 6?

Employers are required to file WorkSafeBC Form 6 when there is an injury or occupational disease that occurs in the workplace.

How to fill out worksafe bc form 6?

Employers can fill out WorkSafeBC Form 6 by providing details about the incident, including the nature of the injury or disease, the circumstances surrounding the incident, and information about the injured worker.

What is the purpose of worksafe bc form 6?

The purpose of WorkSafeBC Form 6 is to report workplace injuries or occupational diseases to the relevant authorities, ensuring that the injured worker receives the necessary support and that steps are taken to prevent similar incidents in the future.

What information must be reported on worksafe bc form 6?

The information that must be reported on WorkSafeBC Form 6 includes details about the injury or disease, the worker involved, the employer, and the circumstances surrounding the incident.

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