Get Canada C950 2012-2026

The Canada C950 form is an essential document used for invoicing occupational therapy services. This guide provides clear instructions on how to successfully complete the form online, ensuring all necessary information is captured accurately.

Follow the steps to accurately fill out the Canada C950 form online.

1. Press the ‘Get Form’ button to retrieve the Canada C950 form and open it in your preferred editing tool.
2. Begin by entering the personal health number and WCB claim number in the designated fields at the top of the form.
3. Fill in the worker's surname and first name, followed by their complete address, city or town, province, postal code, and telephone number.
4. Input the date of the accident using the format yyyy/mm/dd, and also provide the worker's date of birth in the same format.
5. Document the date of service, again in the format yyyy/mm/dd, and choose the appropriate service code from the provided service legend.
6. In the description field, briefly explain the service provided and list the rate per unit alongside the number of units billed.
7. Calculate the total amount billed and enter this figure in the designated field.
8. Provide the name and address of the person or organization to whom the fee is payable, ensuring it is printed clearly.
9. Complete the fee submitted section by entering the total amount being submitted for payment.
10. Sign and print your name at the bottom of the form, along with the WCB billing number, provider reference number, and your telephone and fax numbers.
11. Once all fields are completed, make sure to save the changes, and you can choose to download, print, or share the form as necessary.

Complete your Canada C950 form online today for quick and efficient processing.