Get Form 25m13 Worksafebc Request For Disclosure

Filling out the Form 25M13 WorkSafeBC Request For Disclosure online is an important step in managing your worker’s compensation claim. This guide provides clear, step-by-step instructions to help you complete the form accurately.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Print the form clearly. Begin by filling in your last name and first name as the worker. Make sure to use clear handwriting.
3. Indicate the format in which you would like to receive the disclosure by selecting either 'Paper' or 'FAX'.
4. Provide your WorkSafeBC claim number. This is essential for processing your request.
5. Specify your role by selecting one of the following options: 'Worker', 'Dependant', or 'Representative'. Fill in the requested information relevant to your selected role.
6. If you are requesting disclosure for a dependant, provide their last name and first name. If you are a representative, provide your last name, first name, and company name.
7. Enter the address details for the disclosure recipient, including address line 1, address line 2, city, province/state, country (if not Canada), and postal code/zip.
8. If you are the representative or another requestor, ensure that a signed authorization letter from the worker accompanies this form.
9. Sign and date the form. Include your phone number with area code for further contact.
10. Once you have completed the form, review it for accuracy. You can then save the changes, download the completed form, print it out, or share it as necessary.

Complete your documentation online to ensure the efficient processing of your request.