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  • Medical Form 8-10
    Type: Health Care
    Date: August 20, 2019 Last Revised: March 11, 2021
    Description:

    The new Medical Form 8-10 requires physicians to provide functional abillities recommendations. Evidence shows workplace connection is good for mental, physical and emotional health. Even if a worker is able to work one hour per week, there are positive benefits. 

  • 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.

  • Travel Expense Form
    Type: Workers
    Date: March 20, 2016 Last Revised: January 1, 2021
    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.

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

    To help determine whether your computer workstation requires adjustments

  • 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
  • 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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