The decision review process
If you would like to have a decision reviewed, please follow our collaborative review process outlined below.
A request for review must be submitted within one year from the date of the original decision. This time limit may be extended if there is a justifiable reason for doing so.
For information about what is considered a justifiable reason, read the review and appeal process in our policy manual.
1. Contact the person who made the decision.
They will explain all the considerations that went into making the decision. If you have any additional information that may change the decision, we will always consider it. You can also speak with a supervisor at any time.
2. Request a review.
If you still have concerns after contacting the person who made the decision, you may request a review in writing to the Dispute Resolution and Decision Review Body (DRDRB).
Complete a request for review form and make sure you include:
- your name and account number;
- the specific decision(s) you would like reviewed, including the date of the decision letter from WCB;
- the grounds, including relevant facts for your disagreement relating to each decision for review; and
- the outcome you are seeking for each decision you wish reviewed.
If you are using a representative to act on your behalf, please make sure you or your representative submits a current employer’s authorization of a representative form (C966) signed by you. A submission made on your behalf by a representative must have the same information outlined above.
If your submission is incomplete, it may be returned to you for re-submission.
DRDRB is made up of resolution specialists who will determine if the decision was correct. Before your file is reviewed, a resolution specialist will contact you to make sure they understand your specific issue and concern. You will have an opportunity to explain your issue to the specialist and you will determine the best approach to take to resolve your issue, such as an in-person meeting or a telephone conference. Once the review is complete, the resolution specialist will send you a written decision.
3. Appealing a DRDRB decision.
If you do not agree with the DRDRB’s decision, you can appeal in writing to the Appeals Commission, which is independent from WCB. If the DRDRB decision is dated on or after April 1, 2021, you have one year to submit your appeal to the Appeals Commission. If it is dated from September 1, 2018, up to and including March 31, 2021, you have two years to submit your appeal (based on legislation in place at the time of the decision).
The fairness review process
Our Code of Rights and Conduct tells you how we hold ourselves accountable in our interactions with you.
While not a pre-requisite, if you have a fairness concern, we encourage you to contact the person you were working with or their supervisor/manager at any time. They will listen to your concerns and answer any questions you may have.
You can also request a formal review by the fairness review officer through the Fair Process Review Centre—a free service which provides neutral, impartial and independent assistance to you.
To request a fairness review, complete the Fairness Review form or request a paper version by calling our contact centre.
Time limit for review
You have 60 days from the event or behaviour that led to your fairness concern, to complete the fairness review form.
If you complete the form after 60 days, the fairness review officer may consider extending the time period, provided there is a reasonable explanation for the delay.
The Fair Process Review Centre does not conduct fairness reviews more than one year after the event or behaviour that led to the fairness concern.
Learn more about the fairness review process.
Review and appeals seminar
We offer employers a seminar to help understand and participate effectively in the appeals process. The seminar covers claims appeals and premium-related appeals, and is designed to provide an overview of the appeals process.