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Workers' Compensation Board (WCB)

Board Review Briefing Extension Request

WCB Case Number(s):*
Claimant's Name:*
Name of Submitter:*

Extension Request for:*	Appellant's Respondent's
Current Due Date:*
Requested Length of Extension:*	for days OR until (date):
Opposing Counsel's Position:*	Concur/No objection No position Objection

Reason(s) Supporting Request:*
Your E-Mail Address:*

*Required
*NOTE: Written confirmation is required, with copy to opposing party/attorney.

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