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State of New York Workers Compensation Board SS20085 Subsequent Report of Injury Report Type (MTC) Employer Paid This paper contains information that has been provided electronically to the Board.
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01
Open the SROI EPPDF - WCB form
02
Read and understand the instructions provided on the form
03
Fill in your personal and contact information accurately
04
Provide details about the workplace incident, including date, time, and location
05
Describe the nature of the injury or illness sustained
06
Include information about medical treatment received
07
Provide a detailed account of the events leading up to the incident
08
Specify any witnesses to the incident and their contact information
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Attach any relevant documents or evidence supporting your claim
10
Review the completed form for accuracy and completeness
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Submit the filled-out SROI EPPDF - WCB form to the appropriate authority

Who needs sroi eppdf - wcb?

01
Workers who have been injured on the job and are seeking compensation from the Workers' Compensation Board (WCB)
02
Employers who are required to report workplace incidents and injuries to the WCB
03
Representatives or advocates assisting workers in filling out the SROI EPPDF - WCB form
04
Medical professionals providing treatment to workers with work-related injuries or illnesses
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SROI EPPDF - WCB stands for Subsequent Report of Injury Electronically Filed with Workers' Compensation Board.
Employers or their representatives are required to file SROI EPPDF - WCB when an injured employee needs to report a subsequent injury to the Workers' Compensation Board.
SROI EPPDF - WCB can be filled out electronically on the Workers' Compensation Board website by providing the necessary information about the subsequent injury.
The purpose of SROI EPPDF - WCB is to report subsequent injuries to the Workers' Compensation Board in order to ensure proper documentation and processing of claims.
The information that must be reported on SROI EPPDF - WCB includes details about the subsequent injury, the employee, the employer, and any medical treatment received.
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