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  • Medical Aid Request
    Type: Workers
    Date: November 1, 2022 Last Revised: February 5, 2025
    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. 

  • Ketamine/Esketamine Review
    Type: Health Care
    Date: August 16, 2024 Last Revised: January 7, 2025
  • Instructions for completing Form 100
    Type: Employers
    Date: January 2, 2025
    Description:

    The pre-printed Form 100 must be completed (even if the employer ceased operating) and returned no later than February 28, 2025. Any Form 100 received after this deadline will be subject to a late filing penalty.

  • Contractors and Subcontractors Form
    Type: Employers
    Date: January 2, 2025
    Description:

    Form to report contractors and subcontractors must be completed and returned no later than February 28, 2025.

  • Form 1 – Complaint of Discriminatory Action
    Type: Workers
    Date: January 21, 2020 Last Revised: November 29, 2024
    Description:

    Under Section 25 of the Occupational Health and Safety Act, an employee may file a complaint against an employer or union if the employer or union has taken, or threatens to take, a discriminatory action against the employee because the employee complied with the Act, the regulations or an order or because the employee sought the enforcement of the Act, the regulations or an order. 

  • Notice of Appeal (order, advice or administrative penalty)
    Type: Workers
    Date: October 28, 2021 Last Revised: September 30, 2024
    Description:

    Use this form to appeal an order, advice or administrative penalty (AP) issued under New Brunswick’s Occupational Health and Safety Act or its regulations. The notice of appeal must be filed within 14 calendar days of receiving the order, advice or administrative penalty.

  • Patient Health Questionnaire (PHQ-9)
    Type: Workers
    Date: May 25, 2022 Last Revised: August 7, 2024
  • Sample Respiratory Protective Equipment Code of Practice
    Type: Employers
    Date: March 20, 2016 Last Revised: July 9, 2024
    Description:

    This code sets out requirements this company will follow for the proper selection, use and care of respiratory protective equipment at this workplace.

  • Decision Review Application
    Type: Workers
    Date: June 10, 2019 Last Revised: March 14, 2024
    Description:

    A decision review is the required first step in the appeals process. It takes a second look at your claims-related decision to ensure that it is compliant with legislation, policy, and individual merits of your claim. You need to request a decision review before making an appeal to the Workers’ Compensation Appeals Tribunal.

  • Permanent Partial / Total Disability
    Type: Workers
    Date: March 10, 2020 Last Revised: February 22, 2024
    Description:

    In accordance with the Workers' Compensation Act, a review of your Permanent Partial/Total Disability award will be made on the anniversary month of your accident and if applicable, adjusted in accordance with the changes in the New Brunswick Industrial Aggregate Earnings.

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