The Appeal Process
There are 3 steps to the appeal process that must be completed in order. A decision must be made at each step before you can move on to the next step.
Step 1: Initial Review
Contact the staff member who made the initial decision on your claim. Provide any extra information you feel may have been missed. Many misunderstandings and disagreements can be settled at this stage.
Step 2: Appeals Department
If you still do not agree, you can appeal to the Appeals Department. The Appeals Department is independent from the Operations Division.
You can send your appeal by submitting a Worker Appeal Form online to the Appeals Department. The Appeals Department will send you a letter telling you that they received your appeal and when you can expect a decision.
An appeals officer will review all claim information related to the decision or issue you are appealing.
Step 3: Board Appeal Tribunal
If you disagree with the decision of the Appeals Department, you can ask for a further appeal by the Board Appeal Tribunal.
You can send your appeal by submitting a Board Appeal Form online to the Board Services Department.
The Board Appeal Tribunal is the final step in the appeal process, unless your appeal is about a valid medical question. If you have a valid medical question, you can ask for a Medical Review Panel. You can only ask for the panel if Steps 1, 2 and 3 have been completed.
A valid medical question is one where your doctor or chiropractor disagrees with the medical position taken by the WCB on your claim.