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  • 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.

  • Contractors and Subcontractors Form
    Type: Employers
    Date: January 1, 2023
    Description:

    Form to report contractors and subcontractors must be completed and returned no later than February 28, 2023.

  • Initial Psychology Assessment Report (IPAR) | Word Version
    Type: Health Care
    Date: June 18, 2020 Last Revised: December 7, 2022
    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.

  • Medical Aid Request
    Type: Workers
    Date: November 1, 2022
    Description:

    Use this form if you had an approved claim that is now closed (you're no longer receiving any benefits from WorkSafeNB such as loss of earnings or medical aid) and require medical aid for your previously approved work-related (compensable) injury or illness. 

  • SUCCEED Satisfaction Survey
    Type: Workers
    Date: September 16, 2022
  • Employer Report of Injury or Illness
    Type: Employers
    Date: August 6, 2020 Last Revised: August 11, 2022
    Description:

    Complete this form if an employee experiences a work-related injury or illness. You must submit this to WorkSafeNB within three days of the: date of the accident if the injury or illness may entitle the worker and/or their dependent(s) to wage  replacement or medical treatment under New Brunswick’s Workers’ Compensation Act; date the employee is diagnosed with an occupational disease; or date you are notified of the accident/injury or illness by the employee.

  • Application for Workers' Compensation Benefits
    Type: Workers
    Date: August 6, 2020 Last Revised: August 11, 2022
    Description:

    Submit this form when applying for WorkSafeNB benefits, such as lost wages and/or medical treatment (physiotherapy, medication, etc.), due to a workplace injury or illness. You must complete this form and send it to WorkSafeNB within one year from the date of the accident/injury or illness.

  • SUCCEED Mental Health Questionnaire
    Type: Health Care
    Date: May 30, 2022
    Description:

    Administer this form to workers participating in the SUCCEED program within one week of starting treatment. Re-administer at the end of treatment. 

  • SUCCEED Discharge Report
    Type: Health Care
    Date: May 25, 2022
    Description:

    Complete and submit this form within one week of treatment end date.

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