By completing this form, you authorize WorkSafeBC to access your personal information related to your injury and employment.

How to submit your form
Uploading your form is the fastest way to submit it to us. To do so, download the form, digitally complete it, save it, and upload it by selecting the "Upload form" button. Alternatively, you can print the form, complete it by hand, take a photo or scan it, and upload the file by selecting the same button.