2026-02-03 Worker Letter Introduction to Claim TL no F6

MARK HOLAND, Claim #42647461

e Any days you've missed from work

e Your earnings for the last 12 weeks from all your employers (if you have more than one) —
pay slips and details of your shifts would be helpful

e Your Social Insurance Number

Your WorkSafeBC reference numbers
Your Claim number is: 42647461. Please provide this number to your employer and any health
care providers you see for this injury.

Your Customer Care number is: 93970460601. This is your permanent identification number. It
links this claim and any prior or future claims. When you call us, you can refer to your Claim number
or Customer Care number.

We'll also mail you a Personal Access number you can use with your Claim number or Customer
Care number to access our secure online services. Using online services, you can view your claim
details, submit information to your claim, and set up or change your direct deposit information. We
send your Personal Access number separately from your Claim and Customer Care numbers to
protect the security of your information.

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 the authorization while you’re reporting your injury online. (This option is only
available if you’ve experienced a physical injury from a single incident at work.)
b) Complete an electronic authorization form and upload it online. Visit
worksafebc.com/69W1-upload to download the fillable pdf and find upload instructions.
c) Complete and submit the attached Authorization for Release of Personal Information form.

2. Communicate with your employer and with us

Stay in contact with your employer during your recovery. You and your employer are required to

cooperate with each other and with WorkSafeBC throughout your claim. 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
e 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

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