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.
Questions marked with the * are required for WCAT to register your application.
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.
Representatives must provide an email address for receiving notification of compensation claim disclosure. For more information, please see the WorkSafeBC website or call them at their Claims Call Centre at 1.888.967.5377 or 604.231.8888.
Find out how 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).