Workers

New Claim

If you have been injured due to a workplace incident, you may be entitled to benefits. To submit a claim:

• Submit a Worker’s Report of Injury (Form 6) online through MyWorkplaceNL. If you are unable to complete the form online, please complete the Worker’s Report of Injury (Form 6).
• Tell your supervisor what happened, where it happened and the names of any witnesses. You should do this immediately and before you leave the worksite.
• Seek medical help and tell your health care provider that your injury is work-related. You can visit a physician, a physiotherapist or a chiropractor; they will then complete either a Physician’s Report (Form MD), a Physiotherapy Report (Form PR), or a Chiropractor’s Report (form 8/10c) and provide you with a copy.
• Bring a copy of this report to your employer so they can complete an Employer’s Report of Injury (Form 7).

Once submitted, we will review your Worker’s Report of Injury (Form 6), Employer’s Report of Injury (Form 7) and Health Care Provider Form (MD, PR or 8/10c) and make a decision on your claim.

If you would like for us to discuss your claim with a family member or other representatives (e.g., friend, MHA or union representative), please complete section G of the Form 6, or Authorize a Representative online through MyWorkplaceNL. If you are unable to complete online, please complete the Authorized Representative Consent (Form 13).

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