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  • Application for Alternative Assessment Procedure for Inter-Jurisdictional Trucking
    Type: Employers
    Date: January 12, 2021
    Description:

    Application for the Alternative Assessment Procedure (AAP) for Interjurisdictional Trucking and Transport.

  • Application for Optional Personal Coverage
    Type: Employers
    Date: January 12, 2021
    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 12, 2021
    Description:

    The pre-printed Form 100 must be completed (even if the employer ceased operating) and returned no later than February 28, 2021. Any Form 100 received after this deadline will be subject to a late filing penalty.

  • Report contractors and subcontractors Form
    Type: Employers
    Date: January 12, 2021
    Description:

    Form to report contractors and subcontractors must be completed and returned no later than February 28, 2021.

  • Decision Review Form
    Type: Workers
    Date: June 10, 2019 Last Revised: January 1, 2021
    Description:

    The Decision Review Office is here to review WorkSafeNB decisions if you disagree with the original decision.  Injured workers, employers or their representatives can request a review. You can request a review by completing the Decision Review form and forwarding it to the Decision Review Office

     

  • Discomfort Survey
    Type: Workers
    Date: December 16, 2020
    Description:

    To help determine whether your computer workstation requires adjustments

  • Sample Receipt Template for Informal Caregivers
    Type: Workers
    Date: December 4, 2020
    Description:

    Sample receipt for informal caregivers to provide to claimant

  • Informal Caregiver Services Form
    Type: Workers
    Date: December 3, 2020
    Description:

    Form to claim for services provided by an informal caregiver

  • Employer Report of Occupational Hearing Loss
    Type: Employers
    Date: November 2, 2020
  • Application for Benefits_Occupational Hearing Loss
    Type: Workers
    Date: November 2, 2020 Last Revised: November 2, 2020

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