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A work-related injury or disease is one that arises out of and in the course of employment or is due to the nature of employment.
To be covered by WorkSafeBC a worker must have been working when hurt, and the injury must have been caused by something to do with the job in order to be covered by WorkSafeBC.
For a disease, this means that the disease contracted must be caused by the work or the work environment in order to be covered by WorkSafeBC.
After WorkSafeBC receives reports from
a WorkSafeBC staff member processes the claim to determine if the injury or disease was work-related.
There are three types of claims:No time lost – health care claim only
When a claim is made with WorkSafeBC, a claim number is assigned. With this number, the worker, the employer, and the health care provider can check the status of a claim online to find out if the claim has been accepted.
If you are working outside of British Columbia and you normally live and work in B.C. and your employer is based in B.C., you will usually be covered by WorkSafeBC.
If you're not covered by WorkSafeBC, contact the workers' compensation board of the province in which you were injured. In some cases, you may be eligible for workers' compensation in B.C. and another province. In that case you have three months from the date of your injury to decide from which board you intend to claim compensation.
Let the WorkSafeBC staff member handling your case know, and provide your address and phone number. Your benefits will not change unless the move delays your recovery and return to work. Note that WorkSafeBC will only pay health care costs up to the amount allowed in B.C.
Report your injury to your employer, your doctor, and WorkSafeBC. You will then receive a claim number and a personal access number from WorkSafeBC so you can view information about your claim.
You can view information about your claim, including WorkSafeBC correspondence, decisions on your claim, payment information, return-to-work dates, and more. You'll need the claim number and your personal access number.
You can return to work as soon as you, your doctor, and WorkSafeBC feel you are able.
You may be able to start working part time, or at reduced activity levels, or even at another task if you are not able to return to full duties immediately.
Client service representatives answer questions and make entitlement decisions on claims, and manage straightforward claims with up to three weeks of time loss.
Entitlement officers make decisions on straightforward and complex cases, and manage straightforward claims involving up to four weeks of time loss.
Service expediters support the entitlement officer and arrange work conditioning referrals.
Case managers provide ongoing management of complex claims that are in receipt of wage loss for periods of greater than four weeks.
Team assistants provide support to the case manager.
If your name or address changes over the course of a claim, please complete and submit a Change of address, name, or contact information (#25w112) form to WorkSafeBC.
When a worker's claim is accepted, they begin receiving benefits from WorkSafeBC. The type and duration of the benefits depend on the nature of the injury and the work.
WorkSafeBC benefits begin immediately:
Workers receive wage-loss benefits until the case manager concludes they are able to return to work or have recovered from the injury. If an employer can provide light or modified duties, and the doctor agrees it's safe for the worker to do them, they can return to work to those duties.
WorkSafeBC benefits can be suspended if:
If a worker is injured on the job your responsibilities include:
If the worker misses work time as a result of his or her injury, ensure that he or she calls Teleclaim as soon as possible to report the injury to WorkSafeBC. Otherwise, ensure that he or she completes and submits a Worker's incident and injury report or an Application for Compensation and Report of Injury or Occupational Disease (Form 6) to WorkSafeBC.
Failure to report an injury or coercing a worker not to report an injury is an offence against the Act and can result in fines.
You're not usually required to report to WorkSafeBC if the worker does not lose time from work and does not seek medical attention. However, some accidents and incidents do need to be reported regardless of injuries.
If you are an employer or health care provider you can view the status of a claim, but not wage-loss payment information, using online claim status.
If you disagree with a WorkSafeBC decision, you can have request to have it reviewed.
The Claims Review and Appeal Guide for Workers and Dependants (PDF 71kb) provides detailed information on how workers and dependants can request a review and file an appeal and the Claims Review and Appeal Guide for Employers (PDF 76kb) provides detailed information on how employers with claims concerns can request a review and file an appeal.