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  • Decision Review Application
    Type: Workers
    Date: June 10, 2019 Last Revised: March 14, 2024
    Description:

    A decision review is the required first step in the appeals process. It takes a second look at your claims-related decision to ensure that it is compliant with legislation, policy, and individual merits of your claim. You need to request a decision review before making an appeal to the Workers’ Compensation Appeals Tribunal.

  • PHQ-9
    Type: Workers
    Date: March 6, 2024
  • Long-term Disability Questionnaire
    Type: Workers
    Date: March 10, 2020 Last Revised: February 22, 2024
    Description:

    In accordance with the Workers' Compensation Act, adjustments to Long-Term Disability (LTD) benefits are made on the anniversary month of your injury or recurrence of injury.

  • Permanent Partial / Total Disability
    Type: Workers
    Date: March 10, 2020 Last Revised: February 22, 2024
    Description:

    In accordance with the Workers' Compensation Act, a review of your Permanent Partial/Total Disability award will be made on the anniversary month of your accident and if applicable, adjusted in accordance with the changes in the New Brunswick Industrial Aggregate Earnings.

  • Surviving Spouse Questionnaire – Dependents
    Type: Workers
    Date: March 10, 2020 Last Revised: February 22, 2024
    Description:

    The benefits you receive from WorkSafeNB are reviewed annually on the anniversary of your spouse’s death and adjusted in accordance with the percentage increase established by WorkSafeNB.

  • Surviving Spouse Questionnaire – New Spouse
    Type: Workers
    Date: March 10, 2020 Last Revised: February 22, 2024
    Description:

    The benefits you receive from WorkSafeNB are reviewed annually on the anniversary of your spouse’s death and adjusted in accordance with the percentage increase established by WorkSafeNB.

  • Travel Expense Form
    Type: Workers
    Date: March 20, 2016 Last Revised: January 16, 2024
    Description:

    Medical expense related travel is any visit to a medical professional such as visits to physicians, physiotherapists, chiropractors and any other treatment provided to help you recover from your workplace injury.

    Non-medical expense related travel may include appointments with WorkSafeNB staff, at the staff members’ request, appointments for vocational testing or training and WCAT hearings.

  • Application for Optional Personal Coverage
    Type: Employers
    Date: January 1, 2023 Last Revised: January 11, 2024
    Description:

    Proprietors, partners and spouses of non-incorporated businesses and non-salaried officers of limited or incorporated companies are not automatically covered for compensation purposes under the Workers’ Compensation Act of New Brunswick. To obtain coverage for these individuals, optional personal coverage must be purchased from WorkSafeNB. Please read the Terms and Conditions of Optional Personal Coverage before completing the application.

  • Instructions for completing Form 100
    Type: Employers
    Date: January 11, 2024
    Description:

    The pre-printed Form 100 must be completed (even if the employer ceased operating) and returned no later than February 29, 2024. Any Form 100 received after this deadline will be subject to a late filing penalty.

  • Joint Health and Safety Committee Minutes | Word Version
    Type: Workers
    Date: February 27, 2017 Last Revised: September 13, 2023
    Description:

    Through regular monthly meetings, the JHSC seeks ways to improve health and safety awareness and provides guidance and recommendations on health and safety issues arising in the workplace.

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