IMPORTANT: Learn more about applying for a reconsideration before completing this form.
Complete a separate application for each WCAT decision you want us to reconsider. You may apply for reconsideration on each ground (new evidence or jurisdictional defect) only once.
Make sure to answer every question.
Collection and use of personal information: Personal information on this form is collected for the processing and adjudication of a WCAT matter under the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act. Contact the Freedom of Information Coordinator at WCAT if you have questions.
Your email address is used by...
...WorkSafeBC to let you know when the claim file disclosure can be downloaded (if applicable).
...WCAT to correspond with you about your appeal(s) or application(s), and/or to send you a confirmation that this form was received.
Find out how information is shared by email
...WorkSafeBC to let them know when the claim file disclosure can be downloaded.
...WCAT to correspond with them about your appeal(s) or application(s).
Find out more about sharing information is shared by email.
You must explain the specific grounds (reasons) for reconsideration. Please fill in A. New Evidence Not Previously Available, B. Jurisdictional Defect (Error), or both (if applicable).
A. New evidence not previously available
For each piece of new evidence, complete either (i) or (ii), and complete (iii).
B. Jurisdictional Defect (Error)
The decision contains the following jurisdictional error(s):
If you’d prefer to mail or fax a printed copy, use this version: Application for Reconsideration (PDF, 91KB).