[ Forms Catalogue ] [ Forms List ] [ Help ]

Form Detail

Details
Number LAB1073
Title Attending Physician's Report of Accident
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).
GroupLabour
Returning the Form

Forms
This site uses PDF form technology. To print these high-quality PDF forms, you must have a PDF reader installed. If you do not already have such a reader, there are several available on the Internet : Adobe Reader and Foxit Reader The form(s) are available in the following formats.
Employment and Social Development Canada

ATTENDING PHYSICIAN'S REPORT OF ACCIDENT
PDF: ESDC-LAB1073, 205 KB, printed on 1 pages (8.5x14)

For more information, please consult the Forms Help page.