Your health and well-being are our top priorities, and we are committed to ensuring you receive timely medical treatment and wage replacement benefits.
We know waiting for a decision can be difficult. Providing complete and accurate information helps claims be processed as quickly as possible.
Workers are encouraged to complete the Application for Benefits with their employer. If that is not possible, the application can be completed online. Workers should also follow up with their employer to ensure all required details, such as the date and location of the injury, are provided to support the claim.
Have the following information ready:
Medicare and social insurance numbers
Employer contact name, phone number and address
Details of your injury or illness, including date it happened and location
Health care provider name and date of visit, if you received medical treatment
Proof of income (pay stubs) for the four weeks before stopping work, if applying for loss-of-earnings benefits.
Banking information (branch, financial institution and account)
If you are applying for benefits for occupational hearing loss, you will need to complete a different form. These claims require additional information so WorkSafeNB can determine if your hearing loss is covered under the Workers’ Compensation Act.
Please complete the Application for Benefits – Occupational Hearing Loss instead of the E67.
Exception: If your hearing loss was caused by a specific incident, such as an explosion, you should continue to complete this form.
Returning to work is a shared responsibility between you and your employer. You must work together to support a safe and timely return to work.
You and your employer are expected to:
Your employer is responsible for identifying suitable work that matches your abilities, skills, and experience. You are expected to co-operate when suitable work is offered.
For more information, visit Return to Work: A Shared Responsibility or contact WorkSafeNB.
If you have questions about your application, the claims process, available benefits, or returning to work safely, contact us toll-free at 1 800 999-9775 (Monday to Friday, 8 a.m. to 4:30 p.m.).
You can check on your claim status online. Register with MyServices to see where we are in the application process.
MyServices is a secure and confidential online portal where you can check your claim status. Once a claim is accepted, you can also:
To be eligible for workers' compensation payments, you must work for an employer insured under WorkSafeNB and experience a work-related injury or illness. As part of the claims process, a WorkSafeNB employee will review several pieces of information before making a decision regarding your eligibility. If you are unsure, we encourage you to submit an Application for Workers’ Compensation Benefits.
There are lots of things you can do to get better while we work on your claim decision. Follow your health care provider's instructions and learn about the claims process and injury recovery. Among our favourite tools are Working to Well, About Your Benefits and MyServices.
Working to Well is a website (with videos and tips) to help you learn about the recovery and return-to-work process.
Please note that this PDF is the worker’s application only. It includes the information you need to provide as the worker. Your employer will still need to complete the E67 online to report the injury or illness.
