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Get Canada Wcb C-394 2016-2024

Date of Accident: (Year / Month / Day) Postal Code: Telephone Number: The above named worker is required to attend an appointment (i.e. medical examination or appeal hearing) in relation to their claim. WCB can pay a wage loss allowance if the worker has a loss of earnings as a result of leaving work to attend the appointment. TO ALLOW US TO PROPERLY REIMBURSE THE WORKER, PLEASE RETURN THE COMPLETED FORM TO THE ADDRESS OR FAX NUMBER NOTED ABOVE. 1. Will you pay the worker directly for the.

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