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Form ADR-1 Report of Work-Related Injury or Occupational Disease - New York
What Is Form ADR-1?
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 ADR-1?A: Form ADR-1 is a report used in New York to document work-related injuries or occupational diseases.
Q: Who needs to fill out Form ADR-1?A: Employers need to fill out Form ADR-1 for any employee who experiences a work-related injury or occupational disease.
Q: What information is required on Form ADR-1?A: Form ADR-1 requires information about the employee, the injury or disease, and the employer.
Q: Is Form ADR-1 mandatory?A: Yes, it is mandatory for employers to fill out and submit Form ADR-1 for work-related injuries or occupational diseases in New York.
Q: How should Form ADR-1 be submitted?A: Form ADR-1 should be submitted to the New York Workers' Compensation Board within 10 days of the injury or illness.
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 ADR-1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form ADR-1 Report of Work-Related Injury or Occupational Disease - New York
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