Employer Report of Injury or Illness - WorkSafeNB

Employer Report of Injury or Illness *Your employee does not sign this report. If the employee chooses to apply for workers' compensation benefits, the worker must complete the Application for Workers' Compensation Benefits. Both the employer and worker forms are required to process a claim application. 7. Submission

  Report, Injury, Employers, Illness, Employer report of injury or illness