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C-2 NYS Workers Compensation Form

October 18, 2017 By Paul Giannetti

Workers’ compensation is designed to allow employees who are injured while at work, or who have developed a work-related medical condition or disease, to be compensated without needing to prove their employer was negligent. In turn, employers may not prevent employees from collecting workers’ compensation benefits by alleging the injuries were due to the employee’s own negligence.

Main Takeaways:

  • After the employee notifies their employer of their injury, the employer notifies the Nw York Workers’ Compensation Board of the employee’s injury. This must be done within 10 days of the injury of illness, using the C2-F form.
  • The C2-F form is also known as the “Employer’s First Report of Work-Related Injury/Illness.”
  • If the employer misses the deadline for filing the C2-F form, there will be a financial penalty.
  • If the employer’s insurer will be electronically submitting the accident information to the New York Workers’ Compensation Board, the employer is not required to submit the C2-F form.

The system can be cumbersome with many requirements for both employees and employers as they muddle through the steps of the claims process. The first step requires employees to notify their employer of the injury as soon as possible or after the employee receives a diagnosis of a medical condition or disease. The next step is for employers to notify the New York Workers’ Compensation Board of the employee’s injury within 10 days of the injury or illness on the C2-F form, which is provided by the Board.

What Is the C2-F Form?

The C-2F Form was implemented in New York state in 2013 for employers when reporting an employee injury or illness. The form, titled “Employer’s First Report of Work-Related Injury/Illness,” must be filed with the Board within 10 days of the injury or illness. If the employer misses the deadline, he or she will be subject to a financial penalty.

The form is three pages and requires detailed information about the employee, including the date of hire and a description of the accident with a list of all witnesses. The form itself has a warning that known misrepresentation of any material fact is a crime. The person who fills out the form, whether the employer or his or her agent, who makes a false statement is “subject to substantial fines and imprisonment.”

Filing the form is required for any injury or illness which requires the employee to take time off of work of more than one day beyond the day of the injury, or one that requires medical attention beyond simple and minor first aid.

Consequences for Failing to Submit the Form

If you neglect to file the form within 10 days of the injury or illness, it is considered a misdemeanor and carries a possible fine of up to $1,000. The Workers’ Compensation Board may also impose a penalty of up to $2,500 after an administrative hearing.

Exception for Submitting the C-2F Form

The form itself provides that, if the employer’s insurer will be electronically submitting the accident information to the Workers’ Compensation Board, the employer is not required to submit the C-2F form. If employers are unsure whether they are required to submit the form, they need to contact their insurer for more information.

Maintaining the Form on File

The law requires employers or a third party designated by the employer to maintain the file for 18 years and have it accessible for the Board’s review upon request. The failure to maintain the record is punishable in the same manner as the neglect to file the form within 10 days of the injury or illness.

Contact a Worker’s Compensation Attorney for Assistance

The claims process can be complicated. Employers and employees must both follow detailed regulations. One misstep can result in a worker not being able to collect benefits and/or a fine to the employer. To avoid these pitfalls, contact workers’ compensation lawyer Paul Giannetti for a free consultation.

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Serving accident, injury, and workers' compensation victims throughout Upstate New York including Albany, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington counties. Attorney Advertising. This website is designed to provide general information to injury victims. It is not intended to be legal advice. It can not and should not be substituted for proper legal representation. You should consult an attorney for legal advise regarding your rights as every case is unique and requires in depth analysis and preparation.

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