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FORMS
WorkSafeNB is pleased to offer some of our most frequently-used forms online. If you do not see the form you need, or if you need a hard copy of any WorkSafeNB form, you can order it by:
- Calling 506 632-2820 or toll-free at 1 800 222-9775.
Electronic Forms
Copyright
Submitting Forms to WorkSafeNB
Forms for Workers
Forms for Employers
Forms for Health Care Providers
Electronic Forms
There are two types of electronic forms available on this site.
Download-only forms
Some of the forms listed on this page are available for download in Portable Document Format (PDF). To view and then print PDF files, you must download the latest version of Adobe Acrobat® Reader, a program that is freely available from www.adobe.com.
Online Completion forms
Some of the forms listed on this page are available for online completion in Portable Document Format (PDF). The forms can be filled in online, printed, and even saved for later use on your computer. To use these files, you must download the latest version of Adobe Acrobat® Reader, a program that is freely available from www.adobe.com. Click here for instructions on using our Online Completion forms.
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Copyright
These documents may be printed, copied and distributed without express permission provided that WorkSafeNB's copyright mark is retained. Any modifications require the express permission of WorkSafeNB. Copyright © 2012 WorkSafeNB.
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Submitting Forms to WorkSafeNB
Please refer to the form in question for submission requirements. At this time, the forms cannot be submitted to us electronically, except by fax.
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Forms for Workers
When you have completed your form be sure to sign and fax or mail it. If you have any questions about these forms, please contact us at 632-2820 or toll-free at 1 800 222‑9775.
Under section 25 of the Occupational Health and
Safety Act, an employee may file a complaint
against an employer or union if the employer or
union has taken, or threatens to take, a
discriminatory action against the employee
because the employee complied with the Act, the
regulations or an order or because the employee
sought the enforcement of the Act, the regulations or
an order. If you have such a complaint, please complete Form 1.
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Forms for Employers
When you have completed your form, be sure to sign and fax or mail it. If you have any questions about these forms, please contact us at 632-2820 or toll-free at 1 800 222‑9775.
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Forms for Health Care Providers
When you have completed your form, be sure to sign and fax or mail it. If you have any questions or need additional forms, contact us at 632-2820 or toll-free at 1 800 222‑9775.
DIRECT DEPOSIT:Service providers may register to receive their invoice payments directly through their financial institution. The Direct Deposit Registration Form and FAQ can be found
here.
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