Get Worker Supply And Services Claim Form 3a Worker Supply And Services Claim

This guide provides comprehensive instructions for completing the Worker Supply And Services Claim Form 3A online. By following these steps, users can ensure a smooth application process for reimbursement of approved medical supplies, services, and vocational rehabilitation expenses.

Follow the steps to successfully complete your claim online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the worker information, including the worker's last name, first name, personal health number, date of injury, and mailing address for payment. Ensure that you indicate if your address has changed.
3. Provide the fee code for the service or supply being claimed, along with the city, province/state, and postal code/zip.
4. Attach copies of receipts for the medical supplies or services provided. Ensure that the worker’s first name, last name, and claim number are written on each copy.
5. Indicate the date of service or purchase, and the WorkSafeBC claim number. Fill in the phone number with the area code.
6. Specify the type of expense or supply and include the quantity of service units or items you are claiming.
7. Enter the amount paid for the service or supply, along with any applicable taxes (PST and GST). Make sure to calculate the total invoice amount accurately.
8. Sign the form, certifying that the information provided is true and that you understand the consequences of misrepresentation. Include the date of signature.
9. Once all fields are filled out correctly, save your changes, and choose whether to download, print, or share the claim form according to your preference.

Complete your Worker Supply And Services Claim Form 3A online today.