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WCB Worker Declaration Extended Earnings Replacement Benefit Review Form

Submitted by andrea on Wed, 26 Nov 2025 - 12:05
  • Read more about WCB Worker Declaration Extended Earnings Replacement Benefit Review Form

This form is used to review and confirm a worker’s employment status and related details while receiving Extended Earnings Replacement Benefits (EERB).

Document
WCB-Worker-Declaration-Extended-Earnings-Replacement-Benefit-Review-Form.pdf (117.61 KB)
PDF
forms
injury reporting
workers

An update Gradual Onset Psychological Injury, one month in

Employer webinar: New Service Model and the GPI Claims Process

Psychological Injury Example Claim Scenarios

See sample claim scenarios that show when psychological injuries may be covered.

Employer Request for File Release – Hearing Officer Appeal

Submitted by jesse on Mon, 6 Oct 2025 - 10:49
  • Read more about Employer Request for File Release – Hearing Officer Appeal

A request form for employers to obtain relevant claim file documents from the WCB for a Hearing Officer appeal, completed by an authorized representative.

Document
WCB-Employer-Request-Form-for-File-Release-Hearing-Officer-Appeal.pdf (590.08 KB)
PDF
forms
appeals
injury reporting
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

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
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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
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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
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Benefit Payment Schedule

Long-term benefits

Monthly payments for the Permanent Impairment Benefit (PIB) and Extended Earnings Replacement Benefit (EERB) are processed on the first Wednesday of each month:

October 1, 2025

  • Read more about Benefit Payment Schedule

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