Nys Workers Compensation Forms C-4

What is nys workers compensation forms c-4?

NYS Workers Compensation Forms C-4 are official documents used in the state of New York to report work-related injuries or illnesses. These forms are required by the New York State Workers' Compensation Board and are used to gather important information about the injury or illness, as well as the details of the affected employee.

What are the types of nys workers compensation forms c-4?

There are three main types of NYS Workers Compensation Forms C-4:

C-4 Employee's Claim for Compensation
C-4.1 Doctor's Initial Report
C-4 AUTH Attending Doctor's Request for Approval of Variance

How to complete nys workers compensation forms c-4

Completing NYS Workers Compensation Forms C-4 can seem daunting, but with the right guidance, it becomes a straightforward process. Here is a step-by-step guide to help you:

01
Gather all the required information, including the employee's details, injury or illness description, and any supporting documentation.
02
Download the preferred version of the NYS Workers Compensation Forms C-4 from a reliable source or use a reputable online platform like pdfFiller.
03
Fill out the form electronically or print it out and fill it in manually, ensuring legibility and accuracy.
04
If applicable, have the attending doctor complete the necessary sections and provide any required medical opinions or recommendations.
05
Review the completed form to ensure all information is accurate and complete.
06
Submit the form to the appropriate recipient, whether it be your employer, insurance company, or the New York State Workers' Compensation Board.

pdfFiller is a trusted platform that empowers users to create, edit, and share documents online. With unlimited fillable templates and powerful editing tools, pdfFiller is the only PDF editor you need to efficiently handle your NYS Workers Compensation Forms C-4.

Video Tutorial How to Fill Out nys workers compensation forms c-4

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Questions & answers

Call: 866-396-8314. Submit a paper C-3 form.
Complete the Notice of Injury or Occupational Disease, Form C-1. You must fill out this form and turn it in to your employer within one week of your injury. If your work-related injury requires medical treatment, you will need to fill out Form C-4, Employee's Compensation Report of Initial Treatment.
The formula used by the New York State Workers' Compensation Board to calculate weekly settlement payments is as follows: Weekly Rate: 2/3 x average weekly wage x % of disability (for example, partial disability or temporary disability)
EMPLOYEE'S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT. FORM C-4.
The RFA-2 is a New York State Workers' Compensation Board form. Specifically, it is a “Request For Further Action” by the carrier or employer and can be found here. This form would be filed by the carrier or employer when a need for a hearing arises.
Filing A Workers' Compensation Claim Your workers' compensation claim does not start until the C-4 form is completed. The C-4 form is titled “Employee's Claim for Compensation/Report of Initial Treatment”. The physician fills out their part of the form, and sends a copy to your employer and the insurer.