Get Canada C019 2021-2025

The Canada C019 form is essential for invoicing physiotherapy services for workers' compensation. This guide provides clear and detailed instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the Canada C019 form online:

1. Press the ‘Get Form’ button to access the Canada C019 form and open it in your preferred document editor.
2. Enter the WCB claim number at the top of the form to identify the claim for which the services are being billed.
3. Fill in the date of the accident in the format yyyy/mm/dd to accurately record when the incident occurred.
4. Provide the worker's surname and first name to ensure the invoice is linked to the correct individual.
5. Include the date of birth of the worker in the format yyyy/mm/dd for verification purposes.
6. Enter the full address including street, city or town, ensuring it is updated and legible.
7. Input the telephone number, making sure to format it correctly for contact purposes.
8. For each service item, list the date of service in the format yyyy/mm/dd, health service code, description of the service, quantity provided, rate per unit, fee submitted, and total amount billed.
9. If there are any sundry items or additional services, repeat the process outlined in step 8.
10. Complete the section for the name and address to whom the fee is payable, including the provider's name, WCB billing number, telephone number, fax number, and provider reference number.
11. Finally, enter the date in the format yyyy/mm/dd at the bottom of the form to validate the invoice.
12. Review the entire document for accuracy, then save your changes, and if necessary, download, print, or share the completed form.

Encourage others to complete their documents online for efficiency and convenience.