NY WCB C-3 2022-2024 free printable template
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C-3 Employee Claim State of New York - Workers Compensation Board Fill out this form to apply for workers compensation benefits because of a work injury RU ZRUN UHODWHG LOOQHVV 7 SH RU print neatly. If you were treated by a doctor indicate the name s and address es of the doctor s whom provided care and complete and file Form C-3. Have you had another injury to the same body part or a similar illness If yes provide the names and addresses of the doctor s who treated If yes were you...
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How to fill out ny workers compensation c
How to fill out ny workers compensation c
01
Obtain the NY Workers Compensation C form from your employer or the New York State Workers' Compensation Board website.
02
Fill in your personal information, including your name, address, and contact information.
03
Provide details about your employer, including their name, address, and contact information.
04
Describe the circumstances of your work-related injury or illness in detail.
05
Sign and date the form before submitting it to the appropriate party.
Who needs ny workers compensation c?
01
Employees who have experienced a work-related injury or illness in the state of New York.
02
Employers who are required to report work-related injuries or illnesses to the New York State Workers' Compensation Board.
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Instructions and Help about c3 form workers comp
Music this is workers comp matters hosted by attorney Alan s peers the only legal talk Network program that focuses entirely on the people and the law in workers compensation cases nationally recognized trial attorney expert and author Alan S Pierce is a leader committed to making a difference when workers comp matters Music welcome to legal talk Network this is Alan Pearce host of workers comp matters I'm an attorney at Pearce Pearson napolitana in Salem, and we're bringing you another edition of workers comps matters with guest Michael Grubber before we get into topic with Michael we want to thank our sponsor case pacer practice management software dedicated to the busy trial attorney to learn more go to case pacer dot-com and our other sponsor we'd like to thank is P I now find a local qualified private investigator anywhere in the United States visit p I know com to learn more today's guest is Michael Grubber Michael is a partner, and I'm going to take a deep breath in the law firm of Pasternak telco Ziegler Walsh Stanton and Romano LLP in New York City and other satellite offices I believe Michael is a partner in their Brooklyn office Michael is a graduate of Michigan State he earned his JD degree from the University of Denver College of Law he's been a worker's comp lawyer for over 20 years in addition to litigating workers comp claims he oversees the workers' compensation appellate division practice at the firm, and he has been a member and leader in a variety of local and national Bar Association's and professional groups most recently he just completed a very successful term as president of Willing which is the workers' injury law and advocacy group so with that having been said I'd like to welcome Michael to workers comp matters welcome thank you very much Alan it is a pleasure to be here all right, so you practice in New York, and I've been reading online a variety of posts about some recent somewhat controversial changes that are being proposed to the workers comp statute in New York and I know you and you affirm representing the interests of injured workers have taken a pretty vocal stand why don't you give our listeners an overview of what's been proposed and the status of these possible changes so in New York as many states do a variety of types of benefits that are available injured workers one of the benefits we have here in New York is for extremity injuries to arms letting way down to the fingers from the toes, and we have what are called schedule loss of use awards for permanent injuries to those extremities for injuries to the extremities these are types of awards that you can get regardless of whether you miss a day from work in New York for injuries to your neck your back your head you ask me out of work in order to get any monetary benefits but for any injury to an extremity that results in a permanent injury you are entitled to a monetary award now the value of the extremity for lack of a better way to put it is...
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