Difference between revisions of "Checklist for Workers' Compensation Review Division Appeals (7:App F)"

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{{LSLAP Manual TOC|expanded = workers}}
 
{{LSLAP Manual TOC|expanded = workers}}
  
Interview client
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{{Checkbox}} Interview client
  
Review his or her documents
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{{Checkbox}} Review his or her documents
  
Immediately take note of time limits applicable – they are always to be adhered to
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{{Checkbox}} Immediately take note of time limits applicable – they are always to be adhered to
  
Contact the WCB for necessary clarification, reconsideration based on new evidence, etc.
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{{Checkbox}} Contact the WCB for necessary clarification, reconsideration based on new evidence, etc.
  
Advise client on alternatives such as an application for reconsideration based on new evidence, keeping in mind that the decision is not more than 75 days old since that would prohibit a Board from reconsidering it.   
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{{Checkbox}} Advise client on alternatives such as an application for reconsideration based on new evidence, keeping in mind that the decision is not more than 75 days old since that would prohibit a Board from reconsidering it.   
  
File Request for Review application form if instructed by client.  Ensure the time limit is met.
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{{Checkbox}} File Request for Review application form if instructed by client.  Ensure the time limit is met.
  
Request copy of file from Board (this can be done before an appeal is filed if time permits).
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{{Checkbox}} Request copy of file from Board (this can be done before an appeal is filed if time permits).
  
Review client’s file with him or her
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{{Checkbox}} Review client’s file with him or her
 
* a) Any correspondence
 
* a) Any correspondence
 
* b) Medical file
 
* b) Medical file
 
* c) Memoranda
 
* c) Memoranda
  
Identify key issues leading to the decision - examine all aspects
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{{Checkbox}} Identify key issues leading to the decision - examine all aspects
  
Research important issues
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{{Checkbox}} Research important issues
 
* a) Medical - consult family doctor, specialist, etc.
 
* a) Medical - consult family doctor, specialist, etc.
 
* b) Policy - read Claims Manual, relevant Reporter decisions, etc.
 
* b) Policy - read Claims Manual, relevant Reporter decisions, etc.
  
Decide on the basic grounds for appeal and relief sought
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{{Checkbox}} Decide on the basic grounds for appeal and relief sought
  
Apply for permission to make a late appeal of a related decision, if necessary
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{{Checkbox}} Apply for permission to make a late appeal of a related decision, if necessary
  
Prepare and gather the evidence
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{{Checkbox}} Prepare and gather the evidence
 
* a) Client’s testimony
 
* a) Client’s testimony
 
* b) Other witnesses
 
* b) Other witnesses
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***Ask Review Division to subpoena non-cooperative witnesses
 
***Ask Review Division to subpoena non-cooperative witnesses
  
Prepare submissions - do this in writing, as with a trial book
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{{Checkbox}} Prepare submissions - do this in writing, as with a trial book
  
Hearing
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{{Checkbox}} Hearing
  
Receive and review Review Division findings with client
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{{Checkbox}} Receive and review Review Division findings with client
  
Consider further appeal to Workers Compensation Appeal Tribunal
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{{Checkbox}} Consider further appeal to Workers Compensation Appeal Tribunal
  
  
 
{{LSLAP Manual Navbox|type=chapters1-7}}
 
{{LSLAP Manual Navbox|type=chapters1-7}}

Latest revision as of 21:09, 15 March 2017



Interview client

Review his or her documents

Immediately take note of time limits applicable – they are always to be adhered to

Contact the WCB for necessary clarification, reconsideration based on new evidence, etc.

Advise client on alternatives such as an application for reconsideration based on new evidence, keeping in mind that the decision is not more than 75 days old since that would prohibit a Board from reconsidering it.

File Request for Review application form if instructed by client. Ensure the time limit is met.

Request copy of file from Board (this can be done before an appeal is filed if time permits).

Review client’s file with him or her

  • a) Any correspondence
  • b) Medical file
  • c) Memoranda

Identify key issues leading to the decision - examine all aspects

Research important issues

  • a) Medical - consult family doctor, specialist, etc.
  • b) Policy - read Claims Manual, relevant Reporter decisions, etc.

Decide on the basic grounds for appeal and relief sought

Apply for permission to make a late appeal of a related decision, if necessary

Prepare and gather the evidence

  • a) Client’s testimony
  • b) Other witnesses
  • c) Documents:
    • i Medical legal reports
    • ii Affidavits or letters from unavailable witnesses
    • iii Income tax returns, etc.
      • Ask Review Division to subpoena non-cooperative witnesses

Prepare submissions - do this in writing, as with a trial book

Hearing

Receive and review Review Division findings with client

Consider further appeal to Workers Compensation Appeal Tribunal


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