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Invoicing for services not covered by contract

Third-party vocational rehabilitation service providers use our invoice forms to bill us. Your third-party agreement letter provides full details about invoicing. Following these instructions will help us get your payment to you sooner.

When you sign a third-party agreement with us, you have our approval to provide the services outlined in the agreement. We can't accept invoices unless an agreement is in place.

Your agreement lists:

  • Details about the services needed
  • Contact information for the vocational rehabilitation consultant who referred the client
  • Invoicing requirements.

As a third-party service provider, you're required to use our Vocational Rehabilitation Services third-party agreement invoice template Form 65D53. All mandatory fields in the invoice are marked with an asterisk. Please double-check that these fields are filled in.

To protect the privacy of clients, please submit a separate invoice for each client.

Include the information listed in the table below on your invoices.

Information required


Invoice number

This allows you to check the status of your invoice online

Invoice date

Make sure your invoice is not post-dated

Payee number

Include your payee number as it appears in your third-party agreement with us

GST registration number

Only if applicable

Postal code

Your postal code

Worker’s name
Worker’s date of birth WorkSafeBC claim #

Name of service recipient
Date of birth of service recipient
Claim number of service recipient

Service information


Date of service

For each line item, list the date of completion. This date must not be after the invoice date.

Fee item description

This is listed in your agreement with us

Fee codes

These are listed in your agreement with us

Item amount

The amount billed must not exceed the maximum amount we approved in your agreement with us

Taxes (GST and PST)

Indicate next to each service or item if GST and/or PST apply

Please submit your invoices within 90 days of service delivery.

You can fax or mail them to us. Our fax number and mailing address appear at the top of the invoice template.