Instructions for Form C-3 Employee Claim - New York

Instructions for Form C-3 Employee Claim - New York

This document contains official instructions for Form C-3 , Employee Claim - a form released and collected by the New York State Workers' Compensation Board. An up-to-date fillable Form C-3 is available for download through this link.

FAQ

Q: What is Form C-3?A: Form C-3 is an employee claim form used in New York.

Q: Who can use Form C-3?A: Employees in New York who have suffered a work-related injury or illness can use Form C-3.

Q: What is the purpose of Form C-3?A: Form C-3 is used to report work-related injuries or illnesses and to file a claim for workers' compensation benefits.

Q: What information is required on Form C-3?A: Form C-3 requires information about the employee, employer, injury or illness details, medical treatment, and any wages lost due to the injury or illness.

Q: Is there a deadline to submit Form C-3?A: Yes, Form C-3 must be filed within two years from the date of the work-related injury or illness.

Q: What should I do after submitting Form C-3?A: After submitting Form C-3, you should keep a copy for your records and follow any further instructions from the Workers' Compensation Board regarding your claim.

Q: Can I get legal representation for my workers' compensation claim?A: Yes, you have the right to hire an attorney to help you with your workers' compensation claim.

Q: What happens after my workers' compensation claim is approved?A: If your workers' compensation claim is approved, you may be eligible to receive benefits such as medical treatment coverage and wage replacement.

Q: What if my workers' compensation claim is denied?A: If your workers' compensation claim is denied, you have the right to appeal the decision and request a hearing before a Workers' Compensation Law Judge.

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Instruction Details:

  • This 2-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the New York State Workers' Compensation Board.

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