Get Form 51d12 , Worksafebc

The Form 51D12, WorkSafeBC is crucial for submitting invoices related to hearing aid provisions and services. Completing this form accurately is essential for ensuring timely payment and compliance with regulations.

Follow the steps to complete the Form 51D12 online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the invoice date in the format yyyy-mm-dd in the designated field.
3. Fill out the invoice number, ensuring you provide a unique reference for the form.
4. Indicate the number of pages being submitted along with this invoice.
5. Provide the contract ID if applicable; this helps to connect your invoice with the associated contract.
6. Input the payment information, including the provider name and the clinic name, followed by the clinic's mailing address for payment and payee number.
7. Fill in the city, telephone number (with area code), GST registration number, province, fax number (with area code), and postal code.
8. Complete the service recipient information by entering the service recipient's last name and first name along with their WorkSafeBC claim number if available.
9. Record the date of birth of the service recipient in the format yyyy-mm-dd and the personal health number.
10. Select the gender of the service recipient.
11. Injury information: Enter the date of injury, diagnostic code, side of body affected, and body part code if applicable.
12. Fill in the date of service using the yyyy-mm-dd format and the type of service provided.
13. Enter the fee item code and provide service details, including the make, model, and serial number of the hearing aid, if applicable.
14. Input the number of ear(s) and units, along with the cost per unit.
15. Calculate and enter the line item amount which does not include taxes, and list the applicable PST and GST charges.
16. Sum the line item total, ensuring that it includes all applicable taxes.
17. Finally, review all information for completeness before saving any changes. You can then download, print, or share the completed form as needed.

Complete and submit your Form 51D12 online to ensure prompt processing of your invoice.