This is not a secure form. Please do not use it to send confidential or personal information.
Requests for reviews or claim appeals cannot be submitted through this form. To request a review, complete and submit the two-page request for review form. This form can be submitted by mail or by fax.
More information on the appeal process can be found here.
For specific information related to your claim, contact a Claims
Call Centre or your claim officer.
For Prevention and Occupational Health
and Safety inquiries (including the Regulations) call 604 276-3100
in the Lower Mainland or toll-free 1 888 621-7233.