Submitting this form gives WCAT permission to obtain information about you (the worker) relating to an appeal currently being heard at WCAT. The information WCAT obtains will be released to other parties or participants in the appeal.
Questions marked (Required) must be filled in.
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 pronouns and title
Your pronouns and title will help us to address you respectfully during the appeal process. If you choose "not listed", a new field will open where you can tell us your pronouns and/or title.
You are free to skip these questions. If there is information about your gender in the WorkSafeBC or Review Division file(s), we will use that when choosing how to address you.
If you’d prefer to mail or fax a printed copy, use this version: Authorization to Obtain and Release Information (PDF, 41KB).