Workplace Health, Safety & Compensation Commission of Newfoundland and Labrador 
Forms
2011 Occupational Health and Safety Statement
Access to information request
Affidavit of income
Audiologist's report
Authorization - claim cost contact
Authorized representative (13)
Certification training - PLH attendance application
Certification training - order for training materials
Certification training - participant registration
Certification training - trainer attendance
Certification training - training evaluation
Chiropractor Form 8/10c: a guide for better reporting
Chiropractor's report (8/10)
Consent for the collection, use and disclosure of job site analysis
Crab asthma report
Dentist's report (DR)
Direct deposit enrolment - vendor
Direct deposit enrolment - worker
Early and safe return-to-work plan
Election form (third party - motor vehicle accident)
Election form (third party - non-motor vehicle accident)
Election to claim compensation - interjurisdictional
Employer registration application (A1)
Expense claim - child care
Expense claim - travel/other (95)
Extended earnings loss
Fatality report (7FR)
HA-01 - hearing aid purchase order request
HA-02 - hearing aid fitting report
HA-04 - hearing aid repair request
HA-05 - hearing aid replacement
Hand injury (53)
Health care devices and supplies prescription
Hearing loss worker's report (6HL)
Hernia report - (6H)
Householders' coverage application - (A3)
Independent operator questionnaire - current year
Independent operators questionnaire - prior years
Injury report - employers (7) Register with Connect (home page)to file this form online
Injury report - workers (6)
Invoice form - dentists (96)
Invoice form - hospitals (94)
Invoice form - medical products and services (sample)
Invoice form - personal care (sample)
Invoice form - physicians (92)
Lost cheque (45)
Minute report form
Non-specific incident report - workers
Non-specific incident report - employers
Occupational disease report (6S)
Occupational Rehabilitation provider's consent to collect, use and disclose of personal information
Occupational rehabilitation services report information (.pdf)
Occupational rehabilitation services report information (word)
Optional personal coverage application (A2)
OR4 - initial assessment (clinic)
OR5 - progress report (clinic)
OR6 - discharge report (clinic)
OR7 - referral invoice
Payroll update
Physician's report (8/10)
Physiotherapist's report
Pre-authorized debit (PAD) agreement
PRIME - Employers assessment invoice
PRIME_AuditTemplate_Large
PRIME_AuditTemplate_Medium
PRIME_AuditTemplate_Small
Request for internal review
TCP training provider checklist
Training providers registration form
WHSCC connect - Application for External Bookkeepers or Accountants
WHSCC connect – Application for Employers
Witness statement
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