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Address a fairness inquiry

Procedure summary

Published On

Feb 25, 2025
Purpose

To address a worker's, employer's or dependant's fairness concern.

Description

Upon being notified that a worker, employer or dependant of a deceased worker has a concern about being treated unfairly by WCB, a supervisor contacts the worker, employer or dependant to attempt to address and resolve the concern. If the concern cannot be resolved by the supervisor, the manager also attempts to resolve the concern.

If the concern is not resolved by the supervisor and/or manager, the worker, employer or dependant may submit a request for a fairness review. Requests for fairness reviews are addressed by the Fair Process Review Centre (FPRC), an independent office within WCB-AB.

The client should attempt to have their concerns heard and resolved with the supervisor and manager before initiating an FPRC inquiry. However, if the client does submit a fairness inquiry to the FPRC before discussing the concern with the supervisor and manager, the FPRC will notify the supervisor and manager via file note of the fairness inquiry and request that they collaborate with the worker in an attempt to resolve the concerns. 

The FPRC only considers whether WCB provided  procedural fairnessProcedural fairness reviews look at how processes were followed, not the decision itself and behavioural fairnessBehavioural fairness reviews look at how a person was treated including whether WCB staff followed the Code of Rights and Conduct. It does not consider whether decisions made by WCB are correct (i.e., whether decisions are consistent with WCB Policy and the Workers’ Compensation Act).

The FPRC confirms that the requestor has attempted to resolve the fairness concern with the supervisor and manager. If they have not, the worker, employer or dependant must do this before the FPRC review can proceed. If they have, the FPRC then reviews whether the issue relates to procedural fairness or behavioural fairness. If the issue does not, the FPRC will make recommendations for other avenues to resolve the issue such as the Dispute Resolution and Decision Review Body (DRDRB), Appeals Commission (AC) or Alberta Ombudsman Office and the FPRC review process ends. 

If the concern relates to procedural or behavioural fairness, the FPRC completes a formal fairness review. If, as a result of the review, the FPRC makes recommendations to address the issue, the appropriate business area implements the recommendations.

Refer to the WCB website - Fairness Review page for further information.

Key information

Early resolution is an important and necessary step before a fairness review is considered. In the interest of transparency and fairness, the business area needs an opportunity to respond to a worker's, employer's or dependant's fairness concerns. 

When early resolution is not successful, a worker, employer or dependant may request a fairness review by submitting a fairness review form (G302) to the FPRC. The FPRC provides neutral, impartial and independent assistance to workers, employers and dependants who feel they were treated unfairly by the WCB. There is no cost to this service. The FPRC only has the authority to review whether WCB provided procedural fairness and behavioural fairness.

Procedural fairness reviews look at how processes were followed, not the decision itself. It includes whether:

  • Timely decisions were made and implemented without delay.
  • Effective and timely communication was provided, including being given enough information, notice of a decision and clear reasons for a decision.
  • Full, correct and relevant information was always provided.
  • Access to information was provided as appropriate/required.
  • Decisions were made without bias and with consistency and impartiality.
  • The appropriate forum and opportunity to be heard were provided for workers, employers and dependants to express their opinion and views.

Procedural fairness issues will be addressed with the appropriate Client Service manager and unit/team (e.g., Quality Assurance, Business Training, etc.). 

Behavioural fairness reviews look at how a person was treated including whether WCB staff followed the Code of Rights and Conduct; meaning:

  • The person was treated with dignity and respect.
  • The decision maker treated the individual with fairness and impartiality.
  • The person was able to participate in decisions affecting them.
  • Privacy and confidentiality were protected and respected.
  • The person felt listened to and heard.
  • What could and could not be done was clearly outlined.
  • If a mistake was made, the problem was addressed quickly and with appropriate apology and/or explanation.

Behavioural fairness issues will be addressed by Client Services or Dispute Resolution and Decision Review Body (DRDRB) departments, as appropriate.

When the FPRC identified gaps in procedural or behavioural fairness, they will make recommendations for the appropriate business area to implement. They will also review whether those recommendations are implemented in a timely and appropriate manner.

The FPRC does not have the legislative authority to review, change or vary a claim-related decision. They can only address fairness concerns related to the practices or conduct of the WCB. The FPRC also does not complete a fairness review for issues regarding fairness that date back more than one year from the G302's date. These issues must be addressed with the relevant business area, or the worker, employer or dependant may present their fairness concerns to the Alberta Ombudsman.

Detailed business procedure

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1. Customer Service will attempt early resolution when there is an indication of a fairness concern

Upon being notified that a worker, employer or dependant of a deceased worker has a fairness concern, the Client Service supervisor attempts to resolve the concern.

If the supervisor is not able to resolve the concern, the manager or Dispute Resolution and Decision Review Body (DRDRB) team lead attempts to resolve the concern. 

Review the details of the concern(s) and any discussions or actions the decision maker or other WCB staff have taken to attempt to resolve the issue.

Discuss the concern(s) with the decision maker and consider if the worker's, employer's or dependant's rights were impacted by the interaction that initiated the concern.

Contact the worker, employer or dependant to discuss their fairness concerns and work toward a resolution. Follow steps 2 and 3 of the 10-1 Client Inquiry Resolution procedure and then return to this procedure to complete this step.  

If the issue is resolved and the agreed-upon resolution requires additional action from the decision maker or resolution specialist, discuss the next steps with the decision maker/resolution specialist.

Supervisor

If the attempt to resolve the issue was completed before the worker, employer or dependant submitted a request for a fairness review to FPRC, confirm whether the issue is resolved. If the issue is resolved, send a letter confirming the issue and how it was resolved. If the issue is not resolved, advise them that you will have the manager or DRDRB team lead contact them to attempt to resolve the issue.

If the attempt to resolve the issue was completed after the worker, employer or dependant submitted a request for a fairness review to FPRC, confirm whether the issue is resolved and whether they intend to proceed with their fairness review. If the issue is not resolved advise them that you will have the manager or DRDRB team lead contact them to attempt to resolve the issue. If the issue is resolved, send a letter confirming the issue and how it was resolved. Send an update via email or eCO file note to the FPRC assistant to explain how the inquiry was resolved. 

Manager or DRDRB team lead

If the attempt to resolve the issue was completed before the worker, employer or dependant submitted a request for a fairness review to FPRC, confirm whether the issue is resolved. If the issue is resolved, send a letter confirming the issue and how it was resolved. End the procedure. 

If the issue is not resolved, advise them that they may submit a request for a fairness review to the FPRC. 

If the attempt to resolve the issue was completed after the worker, employer or dependant submitted a request for a fairness review to FPRC, confirm whether the issue is resolved and whether they intend to proceed with their fairness review. If the issue is not resolved and they want to proceed with the fairness review, advise them that the FPRC will proceed with the fairness review. Send an update via email or eCO file note to the FPRC assistant to explain that the issue was not resolved, and the worker, employer or dependant wants to proceed with the fairness review. 

If the issue is resolved, send a letter confirming the issue and how it was resolved.  Send an update via email or eCO file note to the Fair Process assistant to explain how the inquiry was resolved. End the procedure.

If the issue is not resolved proceed to the next step.

Administrative tasks

Add a file note documenting the discussion, the outcome, and any required next steps.

If the attempt to resolve the issue was completed before the worker, employer or dependant submitted a request for a fairness review to FPRC and: 

  • The issue was resolved, whoever resolved the issue (supervisor, manager or DRDRB team lead) sends a letter documenting the outcome and any agreed upon next steps.
  • If the issue was not resolved, the manager or DRDRB team lead sends a letter, including information about how to proceed with a request for a fairness review.

If the attempt to resolve the issue was completed after the worker, employer or dependant submitted a request for a fairness review to FPRC. Whoever completed the last contact with the worker, employer or dependant completes the following:

  • Contact (via email or eCO file note) the FPRC advisor to explain how you have addressed/resolved the issue. Confirm whether this resolves the concern and whether they intend to proceed with the issue.
  • If the issue was resolved, send a file note (Fairness Inquiry-CS / Recommendations) to the FPRC Assistant and manager (when appropriate) and confirm the client's concern is resolved and how it was resolved.

Refer to the Supporting information section for more details on how to complete the file note.

Send the appropriate letter within seven days of notification of the inquiry:

  • CL017A- CS acknowledge FPRC inquiry
  • IN701A- CS acknowledge FPRC inquiry
  • GE701A- DRB acknowledge FPRC inquiry

Refer to the WCB website - Fairness Review page for further information.

2. FPRC will consider a formal fairness review

When early resolution is unsuccessful the FPRC advisor will consider completing a review of the fairness concern when it is warranted. 

Note: In some cases, nothing further can be offered outside of what the business area has already done, and a review will not be completed.

The review includes a detailed examination of relevant claim or account file information and discussion with all involved. If procedural or behavioural gaps are identified the FPRC advisor will:

  • Discuss the findings with the business area to collaborate on a resolution.
  • Send a file note to the supervisor and manager outlining the recommendations.
  • Contact the requestor to advise that the review is done and discuss the findings (this may be done by email or phone call depending on the client's preference).
  • Send a letter to the requestor confirming the outcome.
  • Monitor for completion of the recommendations.

The appropriate WCB business area will complete the recommendations. Possible outcomes could include but are not limited to, an apology letter, providing further explanation of a decision, addressing a delay and/or improvements to a process.

If no gaps are identified:

  • Contact the requestor to share the fairness review outcome. Share information with the requestor about policy, procedure, or WCB standards etc., to help build their understanding and ease future interactions.
  • Send a letter to the requestor confirming the outcome.
  • Send a file note to the Supervisor and Manager advising of the outcome.

Administrative tasks

Add a file note (Fairness Inquiry-CS / Recommendations) to outline the discussion with the business area

3. Implement the recommendations from the FPRC advisor, supervisor, manager or DRDRB team lead

Claim owner or resolution specialist

Review the claim file and recommendation(s) from the FPRC advisor, supervisor, manager or DRDRB team lead. In cases where the FPRC advisor has made recommendations, contact must be made with the worker, employer or dependant within 5 days and the agreed upon action must be completed in 14 days.

Implement the recommendations or, if the recommendations cannot be implemented immediately, develop a plan to implement the recommendations. Send a file note to the FPRC advisor to explain how the inquiry has been addressed/resolved or the plan to implement the recommendations.

When the recommendations could not be implemented immediately, complete the plan to implement the recommendations. Send a file note the FPRC advisor to explain how the plan was implemented.

Send a letter to the requestor outlining how you implemented the recommendations. 

Administrative tasks

Add a file note (Fairness Inquiry-CS/Contact/Requestor Contact or Fairness Inquiry-DRDRB/Contact/Requestor Contact) documenting the discussion. 

If additional action is required to address the recommendations, add a file note (Fairness Inquiry- CS or Fairness Inquiry- DRDRB) to outline your plan to address the action recommended by the FPRC advisor, Manager, Team Lead or Supervisor. This also applies to situations where the implementation plan is different than what was previously identified by the FPRC advisor/Manager/Supervisor/Team Lead. Send the file note to the team lead/supervisor, manager and the FPRC advisor. 

Send one of the following letters outlining how you have addressed/resolved the issue within 14 days of receipt of the FPRC recommendations:

  • CL701C- CS FPRC standard/code not met
  • CL701D- CS FPRC standard/code met
  • IN701C- CS FPRC standard/code not met
  • IN701D-CS FPRC standard/code met
  • GE701C- DRB FPRC standard/code not met
  • GE701D-DRB FPRC standard/code met

Refer to the Supporting Information section for information on how to complete the file note

Refer to the Trant Talks- making a well-rounded apology in the internal resource library for more information.

Supporting Information

FPRC inquiry file note completion guidelines

Fair process review center (FPRC) inquiry outcomes will be tracked via file notes which means it is important for the correct category, standard text and details are filled out when completing a file note in relation to a FPRB inquiry. The table below outlines how to complete the appropriate file note:

EventCategoryStandard TextDetailsFill Field
File note from manager/supervisor/team lead providing direction on required actionsFairness inquiry- CS/ fairness inquiry- DRDRBN/AN/AN/A
File note documenting contact with the FPRC requestorFairness inquiry- CS/ fairness inquiry- DRDRBContactRequestor contactRequestor's name & number
Claim owner/supervisor/team lead updates to manager/supervisor/team lead/FPA on status and progressFairness Inquiry- CS / Fairness Inquiry-DRDRBN/AN/AN/A
File note documenting implementation of the recommendationsFairness Inquiry- CS / Fairness Inquiry-DRDRBRecommendationsSelect the primary recommendation implementedIf more than one recommendation implemented, enter "Yes" next to implemented recommendations in the fill in field.  Enter "No" for any actions in the fill field that were not recommended.
CS or DRDRB file note to FPA documenting outcome
 
Fairness Inquiry- CS / Fairness Inquiry-DRDRBOutcomeSelect whether the requestor is escalating the issue and whether the code/standard was metN/A

Supporting references

Policies

  • Fairness Review Mandate
  • Code of Rights and Conducts

Workers’ Compensation Act

Applicable sections

  • Sections 9.2, 23.1 and 23.2

General Regulation

Applicable sections

Related Legislation

Applicable sections

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