On this page

• While waiting on a decision
• If the claim is accepted
• If the claim is denied

While waiting for a decision

Employee and dependant(s) responsibilities:

• collaborate with the employer and provincial workers’ compensation board case manager to make sure that:
  • the claim information is complete, and
  • the claim information is accurate

Employee’s additional responsibilities:

• follow medical advice and treatments, and
• communicate with their employer and their case manager, as required

Employer’s responsibilities:

• collaborate with the Federal Workers’ Compensation Service and the provincial workers’ compensation board to make sure that:
  • the claim information is complete the claim information is accurate, and
  • the earnings information is provided and accurate
• communicate with the employee while they are receiving treatment, and support a safe and timely return to work

If the claim is accepted

Employee’s responsibilities:

• follow guidance and advice provided by the provincial workers’ compensation board, and treatment plan provided by their Healthcare provider, and
• collaborate in the development and implementation of the return to work plan

Employer’s responsibilities:

• communicate with the employee to monitor the employee’s improvement
• follow medical advice and support the safe and timely return to work of the employee including providing accommodation, as required

Dependant(s) only:

• the dependant may receive compensation (a lump sum or pension) from the Federal Workers’ Compensation Service
• the additional expenses that are compensated by the supplementary payment are usually for the preparation and transportation of the body

If the claim is denied

A provincial workers’ compensation board may deny a claim. Some of the reasons include:

• lack of supporting evidence
• the injury or illness is not work-related
• if the evidence supports that the employee was responsible for the injury or illness due to willful misconduct or negligence

If a claim is denied, the employee or dependant(s) may consult the provincial workers’ compensation board to obtain:

• the reason(s) for the decision, and
• information on the process to review or appeal a decision

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