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Get Worker Supply And Services Claim Form

It em s will be reim bursed. Reim bursem ent s are paid at t he applicable WorkSafeBC rat e. Refer t o page 2 of t his form for furt her det ails. Subm it copie s of receipt s, not original receipt s. Keep or igin a l r e ce ipt s; t hey m ay be required for audit purposes. Failure t o at t ach copies of receipt s m ay delay processing your reim bursem ent . Writ e t he worker s first nam e, last nam e, and claim num ber on each copy subm it t ed. N ot e : For pr e scr ipt ion r e ce ipt r e.

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