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Submitting Forms, Invoices, and Reports

Service providers are required to submit forms, reports, and invoices for the services they provide to workers injured at work.

  • Read more about Submitting Forms, Invoices, and Reports

WCB Notice of Appeal to Hearing Officer-Worker Appeal-30 Days

Submitted by andrea on Wed, 26 Nov 2025 - 15:08
  • Read more about WCB Notice of Appeal to Hearing Officer-Worker Appeal-30 Days

This form is used by workers to file a Notice of Appeal to a Hearing Officer within 30 days of receiving a WCB decision.

Document
WCB-Notice-of-Appeal-to-Hearing-Officer-Worker-Appeal-30-Days.pdf (137.71 KB)
PDF
Hearing loss
forms
appeals
workers

WCB Notice of Appeal to Hearing Officer-Employer Appeal-30 Days

Submitted by andrea on Wed, 26 Nov 2025 - 15:06
  • Read more about WCB Notice of Appeal to Hearing Officer-Employer Appeal-30 Days

This form is used by employers to file a Notice of Appeal to a Hearing Officer within 30 days of receiving a WCB decision.

Document
WCB-Notice-of-Appeal-to-Hearing-Officer-Employer-Appeal-30-Days.pdf (546.42 KB)
PDF
Hearing loss
forms
appeals
employers

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

Release of Information Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:50
  • Read more about Release of Information Form
Document
Release of Information Form_Nov2015.doc (35 KB)
forms
health care service providers

Orebro Activity Screening Questionnaire

Submitted by jesse on Mon, 6 Oct 2025 - 11:48
  • Read more about Orebro Activity Screening Questionnaire
Document
OrebroQuestionnaire_03.pdf (312.52 KB)
PDF
forms
health care service providers

Service Provider Incident Investigation Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:47
  • Read more about Service Provider Incident Investigation Form
Document
Investigation_form_May_2014.pdf (575.96 KB)
PDF
forms
health care service providers

Service Provider Incident Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:46
  • Read more about Service Provider Incident Form
Document
Service_Provider_Incident_Form_May_2014.pdf (595.16 KB)
PDF
forms
health care service providers

Tiered Services - Additional Information Form

Submitted by jesse on Mon, 6 Oct 2025 - 11:45
  • Read more about Tiered Services - Additional Information Form
Document
Additional_Information_May_2014.pdf (555.41 KB)
PDF
forms
health care service providers

Physical Abilities Report – Form E

Submitted by jesse on Mon, 6 Oct 2025 - 11:44
  • Read more about Physical Abilities Report – Form E
Document
Form_E_Physical_Abilities_May_2014.pdf (652.97 KB)
PDF
forms
health care service providers

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