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• Request for Review
  • This form, along with a copy of the final decision of the WHSCC, must be sent to the WHSCRD office within 30-days from the date of the WHSCC decision.
    
• Authorized Representative Consent
  • If you plan to have another party represent you during the review process, then you will need to submit this form consenting to the release of information to your representative.
• Employer's Notice of Intention to Participate
  • As an employer, if you require access to documents in an application filed by one of your employees, you must fill out this form which will be sent to you and return it to the WHSCRD office within 14 days of receipt of correspondence.
• Extension of Time Application
  • The Chief Review Commissioner upon receipt of this form may provide an extension of time.