Form preview

Get the free If you need assistance completing this form, please

Get Form
State of New York Workers' Compensation BoardC2FEmployer's First Report of Correlated Injury/Illness work related injury or illness must be reported within 10 days (Per Section 110) of the injury/illness
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign if you need assistance

Edit
Edit your if you need assistance form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your if you need assistance form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing if you need assistance online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit if you need assistance. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out if you need assistance

Illustration

How to fill out if you need assistance

01
Step 1: Start by gathering all the necessary information and documents that you may need to fill out the form.
02
Step 2: Read through the instructions or guidelines provided with the form to understand the requirements and any specific instructions for filling it out.
03
Step 3: Begin by entering your personal information accurately in the designated fields. This may include your name, address, contact details, etc.
04
Step 4: Move on to the next sections of the form, filling out the required information thoroughly and accurately. Pay attention to any special formatting or specific requests.
05
Step 5: If there are any sections or questions that you are unsure of, seek assistance from the appropriate person or resource. This could be someone knowledgeable in the subject matter or a professional who specializes in form filling.
06
Step 6: Double-check all the information you have entered before submitting the form. Make sure everything is accurate and complete.
07
Step 7: Finally, submit the filled-out form as per the instructions provided. Keep a copy of the form for your records.

Who needs if you need assistance?

01
Anyone who requires assistance in filling out a form can benefit from the above steps. This may include individuals who have difficulty understanding the form's requirements, those who are unfamiliar with the process, or individuals who want to ensure accuracy and completeness in their form submission.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.3
Satisfied
54 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific if you need assistance and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.
pdfFiller not only lets you change the content of your files, but you can also change the number and order of pages. Upload your if you need assistance to the editor and make any changes in a few clicks. The editor lets you black out, type, and erase text in PDFs. You can also add images, sticky notes, and text boxes, as well as many other things.
Add pdfFiller Google Chrome Extension to your web browser to start editing if you need assistance and other documents directly from a Google search page. The service allows you to make changes in your documents when viewing them in Chrome. Create fillable documents and edit existing PDFs from any internet-connected device with pdfFiller.
If you need assistance refers to guidance or help available for individuals or entities in completing forms, applications, or processes that may be complex or challenging to navigate.
Individuals or organizations who find themselves needing help due to complex circumstances, processes, or compliance issues are typically required to file for assistance.
To fill out if you need assistance, individuals should follow the instructions provided with the forms, seek guidance from qualified professionals, or contact relevant support services for help.
The purpose of if you need assistance is to provide support and ensure that individuals or entities can accurately complete necessary forms and comply with regulations or requirements.
Information that must be reported typically includes personal details, financial information, and any specific data required based on the type of assistance sought, following the guidelines given.
Fill out your if you need assistance online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.