Get Canada Wsib 3947a 2016-2026

Filling out the Canada WSIB 3947A form online is an essential step for health professionals and providers seeking prompt payment for services rendered. This guide will walk you through the process, ensuring you complete each section accurately and efficiently.

Follow the steps to complete the Canada WSIB 3947A form successfully.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Begin by filling out the worker information section. Include the claimant's WSIB claim number, surname, given name, and initial. Provide the worker's impairment details and date of incident.
3. Enter the current mailing address of the worker, including the city, province, and postal code. Also, input the worker's date of birth.
4. In the provider information section, provide the name and full address of your facilities, including the WSIB provider ID, HST registration number, and your own invoice number.
5. Enter the treating provider's name and their telephone number to ensure follow-up communication is possible.
6. List the specific services provided. For each service, enter a description, service code, fee per service, and the number of services or treatments billed. Repeat for additional services on separate lines.
7. Sum the amounts billed for all services in the total billed section to ensure accurate financial reporting.
8. Finally, certify the information is true and correct by printing your name, signing, and dating the form before submission.
9. Once all sections are complete, save changes and download the form. You can print it or share it with the relevant authorities as needed.

Complete your documentation online today for prompt processing of your payment requests.