Insurers or claims administrators must report a work-place injury or illness to the New York State Workers' Compensation Board on or before the 18th day after the workplace injury or illness occurred, or within 10 days after the employer learns of the event - whichever period is greater.
Report a Workers' Compensation Claim:
Workers' Compensation claims can be reported via email to firstname.lastname@example.org or faxed to (516) 678-7081.
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First Report of Injury:
- C-11 - Employee's Change in Employment Status
- C-240 - Employer's Statement of Wage Earnings
- C-107 - Employer's Request for Reimbursement