The Worker's Compensation Claim Acceptance Process (7:VII) - Revision history

LSLAP at 19:05, 13 October 2025

2025-10-13T19:05:44Z

← Older revision		Revision as of 19:05, 13 October 2025
Line 1:		Line 1:
	{{REVIEWED LSLAP \| date= ~~September 2, 2024~~}}		{{REVIEWED LSLAP \| date= 18 July 2025}}
	{{LSLAP Manual TOC\|expanded = workers}}		{{LSLAP Manual TOC\|expanded = workers}}

LSLAP at 20:05, 21 September 2025

2025-09-21T20:05:48Z

← Older revision		Revision as of 20:05, 21 September 2025
Line 4:		Line 4:
	After a worker makes an application for compensation, a Board officer (typically an Entitlement Officer) issues a decision (usually in writing) accepting or denying the claim. For a compensation claim to be accepted, the Board must generally find:		After a worker makes an application for compensation, a Board officer (typically an Entitlement Officer) issues a decision (usually in writing) accepting or denying the claim. For a compensation claim to be accepted, the Board must generally find:

	* '''Status''': The applicant is a “worker” covered under the ''~~Act~~''.		* '''Status''': The applicant is a “worker” covered under the ''WCA''.
	* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.		* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.
	* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.		* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.

LSLAP at 23:43, 2 September 2024

2024-09-02T23:43:46Z

← Older revision		Revision as of 23:43, 2 September 2024
Line 1:		Line 1:
	{{REVIEWED LSLAP \| date= ~~August 1~~, ~~2023~~}}		{{REVIEWED LSLAP \| date= September 2, 2024}}
	{{LSLAP Manual TOC\|expanded = workers}}		{{LSLAP Manual TOC\|expanded = workers}}

Clicklaw Editor at 19:14, 12 September 2023

2023-09-12T19:14:14Z

← Older revision		Revision as of 19:14, 12 September 2023
Line 5:		Line 5:

	* '''Status''': The applicant is a “worker” covered under the ''Act''.		* '''Status''': The applicant is a “worker” covered under the ''Act''.

	* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.		* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.

	* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.		* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.

	* '''Time Limits and Procedures''': The worker submitted a timely and proper application.		* '''Time Limits and Procedures''': The worker submitted a timely and proper application.


	If a claim is denied by the Board, it is typically because one or more of the above conditions was not met. The Board decision typically sets out the reason why the claim was denied and cites the relevant policy from RSCM II. However, the evidence on which the decision is based may or may not be summarized in the decision.		If a claim is denied by the Board, it is typically because one or more of the above conditions was not met. The Board decision typically sets out the reason why the claim was denied and cites the relevant policy from RSCM II. However, the evidence on which the decision is based may or may not be summarized in the decision.


	All the evidence on which the decision is based will be in the claim file, which may also include memos from Case Managers and clinical opinions from Board Medical Advisors (BMAs). The claim file may also contain detailed phone memos providing the Case Managers with a summary of the worker’s evidence. The claim file evidence as a whole provides the basis for the Board’s decision, and is evidence which will be available and considered by the appeal bodies, Review Division, and WCAT.		All the evidence on which the decision is based will be in the claim file, which may also include memos from Case Managers and clinical opinions from Board Medical Advisors (BMAs). The claim file may also contain detailed phone memos providing the Case Managers with a summary of the worker’s evidence. The claim file evidence as a whole provides the basis for the Board’s decision, and is evidence which will be available and considered by the appeal bodies, Review Division, and WCAT.

			Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]

	Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]

	{{LSLAP Manual Navbox\|type=chapters1-7}}		{{LSLAP Manual Navbox\|type=chapters1-7}}

LSLAP at 19:42, 22 August 2023

2023-08-22T19:42:05Z

← Older revision		Revision as of 19:42, 22 August 2023
Line 3:		Line 3:

	After a worker makes an application for compensation, a Board officer (typically an Entitlement Officer) issues a decision (usually in writing) accepting or denying the claim. For a compensation claim to be accepted, the Board must generally find:		After a worker makes an application for compensation, a Board officer (typically an Entitlement Officer) issues a decision (usually in writing) accepting or denying the claim. For a compensation claim to be accepted, the Board must generally find:


	* '''Status''': The applicant is a “worker” covered under the ''Act''.		* '''Status''': The applicant is a “worker” covered under the ''Act''.
Line 21:		Line 20:

	Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]		Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]


	{{LSLAP Manual Navbox\|type=chapters1-7}}		{{LSLAP Manual Navbox\|type=chapters1-7}}

LSLAP at 19:41, 22 August 2023

2023-08-22T19:41:46Z

← Older revision		Revision as of 19:41, 22 August 2023
Line 6:		Line 6:

	* '''Status''': The applicant is a “worker” covered under the ''Act''.		* '''Status''': The applicant is a “worker” covered under the ''Act''.

	* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.		* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.

	* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.		* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.

	* '''Time Limits and Procedures''': The worker submitted a timely and proper application.		* '''Time Limits and Procedures''': The worker submitted a timely and proper application.


	If a claim is denied by the Board, it is typically because one or more of the above conditions was not met. The Board decision typically sets out the reason why the claim was denied and cites the relevant policy from RSCM II. However, the evidence on which the decision is based may or may not be summarized in the decision.		If a claim is denied by the Board, it is typically because one or more of the above conditions was not met. The Board decision typically sets out the reason why the claim was denied and cites the relevant policy from RSCM II. However, the evidence on which the decision is based may or may not be summarized in the decision.


	All the evidence on which the decision is based will be in the claim file, which may also include memos from Case Managers and clinical opinions from Board Medical Advisors (BMAs). The claim file may also contain detailed phone memos providing the Case Managers with a summary of the worker’s evidence. The claim file evidence as a whole provides the basis for the Board’s decision, and is evidence which will be available and considered by the appeal bodies, Review Division, and WCAT.		All the evidence on which the decision is based will be in the claim file, which may also include memos from Case Managers and clinical opinions from Board Medical Advisors (BMAs). The claim file may also contain detailed phone memos providing the Case Managers with a summary of the worker’s evidence. The claim file evidence as a whole provides the basis for the Board’s decision, and is evidence which will be available and considered by the appeal bodies, Review Division, and WCAT.


	Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]		Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]

LSLAP at 19:41, 22 August 2023

2023-08-22T19:41:23Z

← Older revision		Revision as of 19:41, 22 August 2023
Line 1:		Line 1:
	{{REVIEWED LSLAP \| date= ~~July 21~~, ~~2022~~}}		{{REVIEWED LSLAP \| date= August 1, 2023}}
	{{LSLAP Manual TOC\|expanded = workers}}		{{LSLAP Manual TOC\|expanded = workers}}

	After a worker makes an application for compensation, a Board officer (typically an Entitlement Officer) issues a decision (usually in writing) accepting or denying the claim. For a compensation claim to be accepted, the Board must generally find:		After a worker makes an application for compensation, a Board officer (typically an Entitlement Officer) issues a decision (usually in writing) accepting or denying the claim. For a compensation claim to be accepted, the Board must generally find:

	* STATUS: The applicant is a “worker” covered under the Act.
	* DISABILITY: The applicant suffered a personal injury or an occupational disease, causing disability.
	* CAUSATION: The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.
	* TIME LIMITS AND PROCEDURES: The worker submitted a timely and proper application.

	If a ~~claim is denied by~~ the ~~Board~~, ~~it is typically because one~~ or ~~more~~ of the ~~above conditions was not met~~. The ~~Board decision typically sets out the reason why the claim was denied~~ and ~~cites the relevant policy from RSCM II. However, the evidence on which the decision is based may or may not be summarized in the decision~~.		* '''Status''': The applicant is a “worker” covered under the ''Act''.
			* '''Disability''': The applicant suffered a personal injury (physical or psychological) or an occupational disease, causing disability.
			* '''Causation''': The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.
			* '''Time Limits and Procedures''': The worker submitted a timely and proper application.

	~~All~~ the ~~evidence on which~~ the decision ~~is based will be in~~ the claim ~~file, which may also include memos from Case Managers~~ and ~~clinical opinions~~ from ~~Board Medical Advisors (BMAs)~~. ~~The claim file may also contain detailed phone memos providing~~ the ~~Case Managers with a summary of the worker’s~~ evidence~~. The claim file evidence as a whole provides~~ the ~~basis for the Board’s~~ decision ~~and~~ is ~~evidence which will~~ be ~~available and considered by~~ the ~~appeal bodies, Review Division and WCAT~~.		If a claim is denied by the Board, it is typically because one or more of the above conditions was not met. The Board decision typically sets out the reason why the claim was denied and cites the relevant policy from RSCM II. However, the evidence on which the decision is based may or may not be summarized in the decision.

	Workers are entitled to a copy of their claim file (paper or CD) on request and will ~~also~~ automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-37). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website].		All the evidence on which the decision is based will be in the claim file, which may also include memos from Case Managers and clinical opinions from Board Medical Advisors (BMAs). The claim file may also contain detailed phone memos providing the Case Managers with a summary of the worker’s evidence. The claim file evidence as a whole provides the basis for the Board’s decision, and is evidence which will be available and considered by the appeal bodies, Review Division, and WCAT.

			Workers are entitled to a copy of their claim file (paper or CD) on request, and will automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-47). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website.]


	{{LSLAP Manual Navbox\|type=chapters1-7}}		{{LSLAP Manual Navbox\|type=chapters1-7}}

Clicklaw Editor at 20:58, 13 December 2022

2022-12-13T20:58:29Z

← Older revision		Revision as of 20:58, 13 December 2022
Line 14:		Line 14:

	Workers are entitled to a copy of their claim file (paper or CD) on request and will also automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-37). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website].		Workers are entitled to a copy of their claim file (paper or CD) on request and will also automatically be sent a copy of the claim file if they file an appeal. In addition, the worker may obtain online access to parts of their claim file by calling the Board. These matters are covered in the section below on Access to Files (7-37). Disclosure may be given directly to the worker’s representative if the disclosure request or appeal notice is accompanied by a valid authorization of representation, signed by the worker. [Authorization forms are available on the Board website].



	{{LSLAP Manual Navbox\|type=chapters1-7}}		{{LSLAP Manual Navbox\|type=chapters1-7}}

Clicklaw Editor at 20:56, 13 December 2022

2022-12-13T20:56:39Z

← Older revision		Revision as of 20:56, 13 December 2022
Line 5:		Line 5:

	* STATUS: The applicant is a “worker” covered under the Act.		* STATUS: The applicant is a “worker” covered under the Act.

	* DISABILITY: The applicant suffered a personal injury or an occupational disease, causing disability.		* DISABILITY: The applicant suffered a personal injury or an occupational disease, causing disability.

	* CAUSATION: The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.		* CAUSATION: The worker’s disabling injury or disease arose out of and in the course of the worker’s employment.

	* TIME LIMITS AND PROCEDURES: The worker submitted a timely and proper application.		* TIME LIMITS AND PROCEDURES: The worker submitted a timely and proper application.

LSLAP at 01:19, 3 September 2022

2022-09-03T01:19:03Z

← Older revision		Revision as of 01:19, 3 September 2022
Line 1:		Line 1:
	{{REVIEWED LSLAP \| date= ~~June 30~~, ~~2021~~}}		{{REVIEWED LSLAP \| date= July 21, 2022}}
	{{LSLAP Manual TOC\|expanded = workers}}		{{LSLAP Manual TOC\|expanded = workers}}