2026-02-09 Worker Letter Introduction to Claim - MH

MARK HOLAND, Claim #42647461

Your next steps

1. Grant us authorization
If you haven't already done so, please give us authorization to ask health care providers and
your employer(s) for personal information relevant only to this claim. This will allow us to serve
you more quickly. Choose one of the following options:
a) Complete an electronic authorization form and upload it online. Visit

worksafebc.com/69W1-upload to download the fillable pdf and find upload instructions.

b) Complete and submit the attached Authorization for Release of Personal Information form.

2. Communicate with your employer and with us
You and your employer are required to cooperate with each other and with WorkSafeBC
throughout your claim. If you have any concerns about communicating with your employer,
please contact us as soon as possible.

Stay in contact with your employer during your recovery. Share how you're doing and discuss

activities you can do.

e If you’re away from work, call your employer regularly to share your progress and ask about
participating in training or other staff events. When appropriate, expand those check-ins to
discuss any modified duties, alternate work, or modified hours that would be safe for you as
you recover. With time and healing, your abilities and function will likely increase, leading to
new offers of suitable work from your employer — so ongoing conversations are key. Learn
more by watching the short video at worksafebc.com/returntowork-workers.

e If you’re working, let your employer know how you're doing and if adjustments are needed to
your duties or work schedule.

To facilitate your recovery and timely and safe return to, or continuation of, work, please remain
in contact with WorkSafeBC. Call our Claims Call Centre at 604.231.8888 (or toll-free at
1.888.967.5377):
e If your condition or symptoms change
If you have concerns about your recovery
If you plan to travel
If you’re not working and:
e You return to work in any capacity or earn income
e Your employer offers you modified duties or hours or alternate work while you're
unable to do your regular duties

3. Understand your treatment options and when they may be covered
e If you pay for any treatment for your injury while your claim is pending, we may be able to
provide reimbursement. If your claim is accepted, contact your treatment provider to request
reimbursement. They will normally bill us directly at our contract rates.
e Once a claim is accepted, we pay for health care that is reasonably necessary to treat the
accepted injury. To help ensure your treatment may be covered:

e Contact us if you're receiving or considering more than one type of medical treatment.
WorkSafeBC does not necessarily pay for multiple treatments at the same time.

e If you visit a treatment provider who has not contracted with us, you will have to pay
for your visit and seek reimbursement from us. If your reimbursement request is
approved, you will be repaid at our set rate for that treatment and will be responsible
for paying any difference.

e Keep your receipts for any prescriptions, counselling sessions, and other goods or
services related to your claim, as we may be able to reimburse you.

D1140-M-CC-R25/11 Page 2 of 3