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Employee ClaimC3State of New York Workers\' Compensation Board `Fill out this form to apply for workers\' compensation benefits because of a work injury or work related illness. Type or print neatly.
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The first report of injury is a formal document submitted by an employer to report an injury that occurred in the workplace.
It is typically required that the employer files the first report of injury, which may be done by a designated employee or supervisor.
To fill out a first report of injury, gather necessary information about the injured employee, the nature of the injury, and details of the incident, then complete the designated forms accurately and thoroughly.
The purpose of the first report of injury is to document the circumstances of the incident, ensure compliance with legal requirements, and initiate the process for workers' compensation claims.
Information required on the first report of injury typically includes the employee's name, date of injury, description of the injury, location of the incident, and any witnesses.
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