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Get Canada WorkSafeBC Form 9 2022-2024

Employer s Statement of Return to Work Worker s information Worker s last name First name Middle initial WorkSafeBC claim number Preferred first name Personal health number Address City Email address Phone number (BC Services Card/CareCard) Social insurance number Date of birth (yyyy-mm-dd) Province Postal code Province Postal code (please include area code) Employer s information Employer name Phone number (as registered with WorkSafeBC) Address (please include ar.

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