First Steps to Writing a WCB Claim Denial Letter: A Step-by-Step Guide

Received a WCB Denial? Here’s What to Do Next

If your Workers’ Compensation Board (WCB) claim has been denied—whether it’s wage-loss benefits, treatment, or a disability award—don’t panic. The denial isn’t the end of the process. In fact, it’s just the beginning.

This guide outlines the first essential steps in writing a WCB claim denial letter, also known as a Review Division submission. Whether you’re handling it yourself or working with a consultant, this will give you the structure and clarity you need.

Step 1: Read the WCB Decision Carefully

Before you write anything, understand exactly what was decided and why.

• Date of decision
• ‍ Who made the decision (Case Manager, Entitlement Officer, etc.)
• What was denied (e.g., wage-loss, treatment, PCA, etc.)
• Reasons given by the Board (e.g., insufficient evidence, no causal link)

Pro Tip: Request your entire claim file from the WCB. This gives you access to all medical and case documentation used to reach the decision.

Step 2: Know Your Deadline

In British Columbia (WorkSafeBC), your appeal deadlines are:

• 90 days to request a review from the Review Division
• 30 days to appeal a Review Division decision to WCAT

Mark your calendar. Missing a deadline may void your right to appeal.

Step 3: Gather Supporting Evidence

The strongest denial letters are backed by objective, relevant evidence. Depending on the issue, this could include:

• Updated medical reports (physicians, psychologists, specialists)
• Functional capacity evaluations
• Physiotherapy notes
• Employer or co-worker statements
• Incident reports

Ask yourself:
“What supports my claim that was not properly considered?”

Step 4: Identify Your Key Argument

Focus your submission on why the decision was incorrect. Common arguments include:

• Misinterpretation of medical evidence
• Ignoring important documentation
• Misapplication of policy (e.g., WorkSafeBC’s RSCM II)
• Outdated or biased opinions being given more weight

Stay focused. Avoid lengthy emotional appeals. Stick to facts and policy.

Step 5: Structure Your Denial Letter

Here’s a proven format to use when drafting your letter:

a) Introduction

“I am requesting a review of the decision dated June 10, 2025, which denied my entitlement to further wage-loss benefits. My claim number is 12345678.”

b) Background

Briefly explain:

• Date of injury
• Nature of injury or condition
• What parts of the claim were accepted

c) Summary of the Decision

Explain how and why your claim was denied in your own words.

d) Grounds for Review

Present your main arguments, such as:

1. Medical Evidence Supports Ongoing Disability

Reports from Dr. Cooper on May 16 and June 20, 2025 confirm ongoing PTSD symptoms and an inability to return to work.

2. Policy C3-22.00 Not Applied Correctly

My current psychological condition meets WorkSafeBC’s criteria for compensable psychological disability.

e) Conclusion

“I respectfully request that the Review Division overturn the decision and accept my continued entitlement to wage-loss benefits and further treatment.”

Step 6: Attach Exhibits

Include supporting evidence as attachments. Label each clearly:

• Exhibit A – Psychiatric Report (Dr. Cooper, May 2025)
• Exhibit B – Functional Capacity Evaluation (June 2025)
• Exhibit C – Employer Statement (July 2025)

Step 7: Final Checklist Before You Submit

• Is the letter clear and organized?
• Did you include your claim number?
• Are all attachments labelled?
• Is it under 5 pages (unless necessary)?
• Did you meet the deadline?

Need Help Writing or Submitting Your Appeal?

You’re not alone—and you don’t have to navigate the system by yourself.

UCDC helps injured workers, unions, and LTD claimants draft and submit WCB denial letters and appeal submissions that are evidence-based and policy-focused.

Final Thoughts

Your WCB denial letter is more than a formality—it’s your chance to correct the record, introduce new evidence, and assert your right to compensation.

Many decisions are overturned when the appeal is written strategically, respectfully, and supported by evidence. So take your time, follow the steps, and don’t be afraid to get support if you need it.

Resources

• WorkSafeBC Policy & Regulation Manual
• Review Division Guide for Workers (BC)
• WCAT Appeal Resources