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BEFORE THE WORKERS\' COMPENSATION BOARD STATE OF OREGONIn the Matter of the Compensation ofPAUL M. ATWOOD, Claimant) ) ) ) ) )WCB Case No. 9704870 Claim No. C604529206 DOI: 04/01/97 WCD File No. D863336
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How to fill out new york workers compensation

01
Obtain the New York Workers' Compensation Board Form CO-1.
02
Fill out your personal information including your name, address, and Social Security number.
03
Provide details about your employer, including their name, address, and federal employer identification number (FEIN).
04
Describe the nature of your injury or illness, including the date and time it occurred.
05
Include the location where the incident happened.
06
List any witnesses to the accident, if applicable.
07
Sign and date the application to certify that all information is accurate.
08
Submit the completed form to the Workers' Compensation Board and your employer.

Who needs new york workers compensation?

01
Employees who have been injured or become ill due to their job responsibilities.
02
Employers required to carry workers' compensation insurance for their employees.
03
Any worker in New York State seeking benefits for medical expenses and lost wages due to work-related injuries.
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New York Workers' Compensation is a state-mandated insurance program that provides financial and medical benefits to employees who are injured or become ill as a result of their work.
All employers in New York with employees are required to carry workers' compensation insurance and must file claims on behalf of employees who report work-related injuries or illnesses.
To fill out New York Workers' Compensation forms, employers must complete the relevant claim forms including the C-3 form for employees, provide details of the injury, medical treatment, and any wage loss claims, and submit them to the New York State Workers' Compensation Board.
The purpose of New York Workers' Compensation is to provide financial compensation for lost wages, medical expenses, and rehabilitation costs for workers who are injured on the job, while protecting employers from lawsuits related to those injuries.
Information that must be reported includes details about the injured employee, the nature of the injury, the circumstances of the accident, medical treatment provided, and any wage loss due to the injury.
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