Workplace Health, Safety & Compensation Commission of Newfoundland and Labrador 
Forms
2009 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 - provider application
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)
Detailed health care payments request
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 (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)
Injury report - workers (6)
Internal Review Staff at the Workplace Health, Safety and Compensation Commission make decisions every day to determine benefit entitlement. They also make decisions affecting employers’ assessments.
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)
Optional personal coverage application (A2)
OR services report information
OR services report information (Word doc)
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
PRIME - Employers assessment invoice
PRIME_AuditTemplate_Large
PRIME_AuditTemplate_Medium
PRIME_AuditTemplate_Small
Request for internal review
TCP training provider checklist
TCP training provider registration form
WHSCC Connect – Application for Employers
Witness statement
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