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Get Form 6A, WorkSafeBC - BCIT - Bcit

Vide the employer with particulars of the injury or occupational disease on a report prescribed by WorkSafeBC and supplied to the worker by the employer. This is the report prescribed. If requested by employer, please complete this report as it appears. Submit directly to employer. This report should be completed by the injured worker if fit to do so. It can be completed by another individual for signature by the injured worker. WorkSafeBC claim number Worker information Customer care number.

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