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Mail PO Box 4700 STN Terminal Vancouver BC V6B 1J1WorkSafeBC Authorization of Representative 604.233.9777, toll-free 1.888.922.8807 Phone 604.231.8888, toll-free 1.888.967.5377Please complete this

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How to fill out worksafebc authorization of representative

01

To fill out the WorkSafeBC Authorization of Representative form, follow these steps:

02

Start by downloading the form from the WorkSafeBC website or obtain a physical copy from the nearest WorkSafeBC office.

03

Fill in your personal information, including your name, address, phone number, and email address in the designated spaces.

04

Provide details about your representative, including their name, address, phone number, and email address.

05

Specify the type of representation you are authorizing and the timeframe for which the authorization is valid.

06

Indicate your consent by signing and dating the form.

07

If applicable, include any additional documents or information requested by WorkSafeBC.

08

Submit the completed form to WorkSafeBC through mail, fax, or in-person at a local office.

09

Note: It is recommended to keep a copy of the completed form for your records.

Who needs worksafebc authorization of representative?

01

Any individual or business that wishes to appoint a representative to act on their behalf in matters related to WorkSafeBC can benefit from obtaining the WorkSafeBC Authorization of Representative.

02

This includes: employers, workers, injured individuals, dependents, or any other party who requires assistance in dealing with WorkSafeBC processes, claims, or appeals.

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What is worksafebc authorization of representative?

The worksafebc authorization of representative is a form that allows an individual or organization to act on behalf of an employer for matters related to WorkSafeBC.

Who is required to file worksafebc authorization of representative?

Employers who wish to authorize a representative to act on their behalf in dealings with WorkSafeBC are required to file the authorization of representative form.

How to fill out worksafebc authorization of representative?

To fill out the worksafebc authorization of representative form, the employer must provide their contact information, details of the representative being authorized, and sign the form before submitting it to WorkSafeBC.

What is the purpose of worksafebc authorization of representative?

The purpose of worksafebc authorization of representative is to allow a designated representative to represent an employer in matters related to WorkSafeBC, such as claims management and appeals.

What information must be reported on worksafebc authorization of representative?

The worksafebc authorization of representative form must include the employer's contact information, details of the representative being authorized, and the signature of the employer.

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