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Conditional Surcharge Refund Application

Submitted by jesse on Mon, 6 Oct 2025 - 10:43
  • Read more about Conditional Surcharge Refund Application

The conditional surcharge refund program is intended to provide employers an opportunity to be refunded the money paid in surcharge premiums for investments made in safety.

Document
WCB_Employer Form-Conditional_ Surcharge_Refund form_2022.pdf (65.53 KB)
PDF
forms
employers

Business Discontinuation Form

Submitted by jesse on Mon, 6 Oct 2025 - 10:41
  • Read more about Business Discontinuation Form

Use this form to notify us of any changes in your business status. 

Document
WCB-Employer Form-Business Discontinuation Form-2022.pdf (64.12 KB)
PDF
forms
workplace injury insurance
employers

Vocational Rehabilitation Travel Expense Form

Submitted by jesse on Mon, 6 Oct 2025 - 10:28
  • Read more about Vocational Rehabilitation Travel Expense Form

If you are participating in a vocational rehabilitation program or service for which travel is required, the WCB may reimburse travel-related expenses.

Document
Vocational-Rehabilitation Travel Form.pdf (111.68 KB)
PDF
forms
injury reporting
workers

Travel Expense Guidelines

Submitted by jesse on Mon, 6 Oct 2025 - 10:26
  • Read more about Travel Expense Guidelines

How to guide for filling out the Travel Expense form. 

Document
Travel Expense Guidelines.pdf (93.36 KB)
PDF
forms
workers

Occupational Noise-Induced Hearing Loss Application

Submitted by jesse on Mon, 6 Oct 2025 - 10:22
  • Read more about Occupational Noise-Induced Hearing Loss Application

Submit an application to the Workers’ Compensation Board of Nova Scotia for review of whether you meet the criteria to establish an occupational noise induced hearing loss (ONIHL) claim.

Document
Comms-Form-Occupational_Noise_Hearing_Loss_Form_2017.pdf (511.3 KB)
PDF
Hearing loss
forms
injury reporting
workers

Occupational Disease Injury Report

Submitted by jesse on Mon, 6 Oct 2025 - 10:20
  • Read more about Occupational Disease Injury Report

This form collects personal, medical, and work history details to support a Workers’ Compensation Board claim for an occupational disease or exposure.

 

Document
WCB-Occupational-Disease-Injury-Form.pdf (1.02 MB)
PDF
forms
workers

Job Search Planner

Submitted by jesse on Mon, 6 Oct 2025 - 10:17
  • Read more about Job Search Planner
Document
Job Search Planner.pdf (130.5 KB)
PDF
forms
return to work
workers

Firefighter Cancer Claim Form (Surviving Spouse)

Submitted by jesse on Mon, 6 Oct 2025 - 10:15
  • Read more about Firefighter Cancer Claim Form (Surviving Spouse)

As the surviving spouse of the deceased firefighter, please provide the following information and complete the attached Firefighter Cancer Claim form.

Document
Comms-Form-Figher Fighter_cancer_claim_spouse_2017.pdf (269.06 KB)
Health and social services
PDF
forms
injury reporting
workers

Firefighter Cancer Claim Form

Submitted by jesse on Mon, 6 Oct 2025 - 10:12
  • Read more about Firefighter Cancer Claim Form

Complete this form if you have been employed, or volunteered, at a WCB Nova Scotia-covered fire department during any period of your employment.

Document
firefighter-cancer-claim.pdf (1008.9 KB)
Health and social services
PDF
forms
injury reporting
workers

WCB Policy Manual

Submitted by Ishant on Fri, 3 Oct 2025 - 15:54
  • Read more about WCB Policy Manual

A guide to the policies WCB uses to make decisions about claims and services.

Document
WCB-Policy-Manual.pdf (2.41 MB)
PDF

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