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  • 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
  • Initial Psychological Assessment Report – Instructions
    Type: Health Care
    Date: August 13, 2020
  • Initial Psychology Assessment Report (IPAR) | Word Version
    Type: Health Care
    Date: June 18, 2020 Last Revised: June 18, 2020
    Description:

    The Initial Psychological Assessment Report (IPAR) asks for information necessary for WorkSafeNB to make an acceptance decision on a claim. WorkSafeNB must determine whether the worker’s injury meets requirements for acceptance under the Workers’ Compensation Act.

  • Psychology Progress Report | Word Version
    Type: Health Care
    Date: June 18, 2020
    Description:

    The Psychology Progress Report (PPR) asks for information necessary to help us understand a worker’s recovery, accommodation options and more. This helps us review progress and opportunities for additional support.

  • Psychology Discharge Report | Word Version
    Type: Health Care
    Date: June 18, 2020
    Description:

    The Psychology Discharge Report (PDR) asks for information necessary to close a course of treatment. It helps us understand the outcomes of that treatment and review overall improvement and possible need for additional support. 

  • Form B
    Type: Health Care
    Date: May 27, 2020
    Description:

    Form B - if you were ever exposed to noise while working outside of New Brunswick, you must choose the province/territory/state in which you want to apply for compensation. List the other provinces/territories/states where you worked, and then indicate which province/territory/state you choose.

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