Attending Physician's Report of Accident - LAB1073
Purpose
Pursuant to the Corrections and Conditional Release Regulations, this form is to be completed by the Attending Physician of the claimant in order to provide a diagnostic and prognostic. The completed form should be submitted to the Federal Workers Compensation Service (FWCS).
Group
Labour
Forms
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Important Information
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Employment and Social Development Canada
ATTENDING PHYSICIAN'S REPORT OF ACCIDENT
PDF: Download ESDC-LAB1073, 205 KB, printed on 1 pages (8.5x14)