Form C-2 Employer's Report of Work-Related Injury / Illness - New York

Form C-2 Employer's Report of Work-Related Injury / Illness - New York

What Is Form C-2?

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.

FAQ

Q: What is Form C-2?
A: Form C-2 is the Employer's Report of Work-Related Injury/Illness in New York.

Q: Who needs to fill out Form C-2?
A: Employers are required to fill out Form C-2 when an employee has a work-related injury or illness.

Q: What information is required on Form C-2?
A: Form C-2 asks for details about the injured employee, the injury or illness, and the employer's insurance coverage.

Q: When should Form C-2 be submitted?
A: Form C-2 should be submitted within 10 days of the employer's knowledge of the injury or illness.

Q: What happens after submitting Form C-2?
A: After submitting Form C-2, the employer's insurance carrier will review the information and determine the appropriate course of action.

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Form Details:

  • Released on August 1, 2009;
  • 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-2 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-2 Employer's Report of Work-Related Injury / Illness - New York

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