Form C-11 Employer's Report of Injured Employee's Change in Employment Status Resulting From Injury - New York

Form C-11 Employer's Report of Injured Employee's Change in Employment Status Resulting From Injury - New York

What Is Form C-11?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2022;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form C-11 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

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Download Form C-11 Employer's Report of Injured Employee's Change in Employment Status Resulting From Injury - New York

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  • Form C-11 Employers Report of Injured Employees Change in Employment Status Resulting From Injury - New York, Page 1
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