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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.

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

    To help determine whether your computer workstation requires adjustments

  • Initial Psychological Assessment Report – Instructions
    Type: Health Care
    Date: August 13, 2020
  • 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.

  • Direct Deposit Enrolment Form - Worker
    Type: Workers
    Date: April 8, 2020 Last Revised: April 8, 2020
    Description:

    We encourage clients to sign up for direct deposit if they haven’t already done so. Registration is simple and quick.

  • Direct Deposit Enrolment Form: Provider
    Type: Health Care
    Date: April 8, 2020 Last Revised: April 8, 2020
    Description:

    Sign up for direct deposit (health care providers).

  • Audiometric Report
    Type: Health Care
    Date: August 28, 2019
    Description:

    Audiometric testing of a worker’s hearing is important to the success of a hearing conservation program because it helps determine if occupational hearing loss is being prevented by the noise control measures.

  • Estimate of Required Dental Services
    Type: Health Care
    Date: June 27, 2019 Last Revised: June 27, 2019
    Description:

    Estimate of required dental services to be completed by attending dentist/denturist and forwarded promptly to WorkSafeNB.

  • Form 33 – Claimant Prescription Information
    Type: Health Care
    Date: January 11, 2011 Last Revised: November 8, 2018
    Description:

    This form is used for the reimbursement of items  or drugs purchased by an injured worker.

    Pharmacies my use this from to  direct bill WorkSafeNB for approved personal items purchased by the client for the compensable injury. 

    Out of Province pharmacies may also use this form for direct billing of approved drugs.  They do not have access to e-pay

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