Get Canada 63m1 - British Columbia 2012

This guide provides a comprehensive overview of how to complete the Canada 63M1 form for requesting a review of a WorkSafeBC decision. By following these steps, you can ensure that your application is filled out accurately and submitted properly.

Follow the steps to successfully complete your request for review.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin by entering your first name, last name, and middle initial in the designated fields. Make sure to include your WorkSafeBC claim number accurately.
3. Provide your current contact information, including mailing address, city, province, postal code, work and home phone numbers, fax number, and email address.
4. Select your role by indicating whether you are a Worker or another relevant designation. Include your title/position if you are an employer.
5. In the section requesting a review of the WorkSafeBC decision, check one of the options (Claim decision, Employer assessment decision, or Prevention decision) and fill out the requested information in that row, including order number, report number, and decision dates as applicable.
6. Specify your reason for the review clearly in the provided space. If needed, indicate if you have attached additional pages.
7. Indicate whether you request a standard review method or believe an oral hearing is necessary. Provide reasons if an oral hearing is requested.
8. Check the appropriate box regarding representation. If you have a representative, fill out their details including name, organization, contact information, and authorization as needed.
9. Sign and date the application form to confirm your request for a review and your understanding of the conditions outlined in the authorization section.
10. Before submitting, ensure you have attached a copy of the decision letter you wish to challenge, included an authorization for any representatives, and retained a copy of the signed form.
11. Finally, send your completed form to the Review Division via fax or mail, but not both. Keep a record of your submission for your records.

Get started on your request for review by completing the Canada 63M1 form online today.