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Get Canada WorkSafeBC Worker Prescription Claim 2012

Note: All receipts for medical supplies and services and/or vocational rehabilitation expenses should be claimed on a form 3A, Worker Medical Supply and Services Claim. PAYMENT SERVICES: Phone 604 276-3085 Toll-free 1 888 422-2228 FAX: 604 233-6889 Toll-free 1 888 960-6889 MAIL: Payment Services, WorkSafeBC PO Box 94460 Stn Main Vancouver BC V6X 8V6 Requests for reimbursement MAY NOT BE PAID if all mandatory information is not provided on this form. Mandatory fields are indicated by * below.

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