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Sample Workplace Incident Report

Submitted by Ishant on Mon, 17 Nov 2025 - 15:54
  • Read more about Sample Workplace Incident Report

Form to document employee incidents, injuries, contributing factors, and corrective actions.

Document
Sample-Incident-Report.pdf (86.4 KB)
forms
PDFs
worksheets and templates
employers

WCB Physician Report Form 8/10

Submitted by Ishant on Mon, 27 Oct 2025 - 15:12
  • Read more about WCB Physician Report Form 8/10

This form is used by physicians and nurse practitioners to document patient information, injury details, treatment plans, and return-to-work assessments for workers' compensation claims in Nova Scotia.

Document
WCB-Physician-Report.pdf (209.06 KB)
forms
health service providers
physicians

TIER 3 Program Approval

Submitted by Ishant on Mon, 27 Oct 2025 - 14:50
  • Read more about TIER 3 Program Approval

It captures worker and employer details, assessment findings, and recommendations for participation in the Tier 3 Rehabilitation Program, including WCB approval.

Document
Tier3-Program-Approval-Form.pdf (41.09 KB)
forms
PDFs
health service providers

Remittance Voucher

Submitted by jesse on Fri, 24 Oct 2025 - 12:40
  • Read more about Remittance Voucher

A remittance voucher used by employers to submit payroll information and assessment payments.

Document
Remittance-Voucher-WCB.pdf (148.52 KB)
forms
PDFs
employers
workers

Medical Cannabis Guidelines

Submitted by Ishant on Thu, 23 Oct 2025 - 16:40
  • Read more about Medical Cannabis Guidelines

The WCB Nova Scotia Medical Cannabis Guidelines outline strict criteria for when medical cannabis may be approved for compensable workplace injuries, emphasizing evidence-based use, medical oversight, and specific limits on dosage and form.

Document
Medical-Cannabis-Criteria.pdf (341.74 KB)
forms
PDFs
health service providers

Employer Representative Authorization Form

Submitted by Ishant on Tue, 14 Oct 2025 - 15:50
  • Read more about Employer Representative Authorization Form

This is an employer representative authorization form.

Document
Employer-Representative-Authorization-Form.pdf (560.53 KB)
forms
PDFs
employers

Request a copy of your file

Submitted by Ishant on Wed, 8 Oct 2025 - 17:56
  • Read more about Request a copy of your file

This is form to request a copy of your file.

Document
Request-a-copy-of-your-file.pdf (71.4 KB)
forms
PDFs
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
rights and responsibilities
health 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)
forms
health 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)
forms
health service providers

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