Workers' Compensation information and forms for the state of NY
Workers' Compensation Insurance can seem complicated to administer. There are many forms and various specific state regulations concerning postings and employee notification. To get the help you need to ensure employees understand coverage's and how to report a work place injury, select the link located below.
- NYWCBFS1 – Your Responsibilities as an Employer – Timely Reporting
This document, published by the New York Workers' Compensation Board, outlines the employer's obligation to report work related injuries to the insurance carrier in a timely manner.
- WC7654f – Notice Of Compliance / Workers Compensation Law (English/Spanish)
Required to be conspicuously posted at the employer's place of business so all employees have access to it. The completed notice will be sent with your policy; additional copies can be obtained by contacting your agent.
- WC9922a – Employer's First Report of Work-Related Injury/Illness
This form is completed by the employer to report an on the job injury or accident involving an employee.