Get the free SI-10.1M (8/15) - Workers ' Compensation Board - New York State - wcb ny
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ANDREW M. CUOMO Governor ROBERT E. BEATEN Chair Reinsurance Office REPORT OF CUMULATIVE MEDICAL PAYMENTS Through September 30, 2015, A. B. C. ACCIDENTS OCCURRING PAYMENTS RECOVERIES 1. From 4115 to
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How to fill out si-101m 815 - workers
How to fill out si-101m 815 - workers:
01
Begin by providing your personal information, such as your name, address, and contact details.
02
Specify the type of worker you are, whether you are an employee, contractor, or self-employed.
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Indicate the period for which the report is being completed, including the start and end dates.
04
Report on the number of workers in various categories, such as full-time, part-time, temporary, or permanent.
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Provide details about the occupation or industry in which the workers are engaged.
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Include information about any occupational injuries or illnesses that occurred during the reporting period.
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Make sure to accurately calculate the total hours worked by all workers during the specified time frame.
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Note: It is important to consult the specific guidelines and regulations provided by the relevant authority or agency when filling out the si-101m 815 - workers form, as requirements may vary based on jurisdiction and industry.
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