If you sustained an injury or illness on the job, you’ll first need to notify your employer in writing within 30 days. Be sure to document the time, location, type of accident, nature of the accident, and the injury or illness you sustained and provide this information with your notification.
Also, get medical attention as soon as possible and let your doctor know that your injury or illness occurred within the scope of your employment. Follow all of your doctor’s recommendations by attending appointments and avoiding physical activity that can disprove your claim.
Filing your workers’ comp claim
You’ll then need to file an employee claim (Form C-3) with the New York Workers’ Compensation Board. This must be done within two years of recognizing your work-related illness or injury, but it’s important to get the process going as soon as possible to avoid any delays in your benefits.
The information you’ll need to provide on Form C-3 includes:
- Your personal details (name, address, social security number)
- Detailed description of the injury or illness
- Date and place of the incident
- Names and addresses of witnesses
- Details of your employer and your employment at the time of injury or illness
Next, your employer will file a Form C-2F with the Workers' Compensation Board. This must be done within 10 days of being notified of your injury or illness. Your doctor will need to file a Form C-4 with the board and ensure that a copy is sent to you, your employer, and your employer’s insurance company.
Any errors or omissions in filing your workers’ compensation claim can result in your benefits getting delayed or denied. Having an experienced New York attorney on your side can help streamline the process and maximize your chances of a successful outcome.
The approval or denial process
In the next step, your employer’s insurance provider will evaluate your claim to decide on your eligibility for workers' compensation benefits. If your claim is approved, you will begin to receive workers’ compensation benefits.
Be aware that disputes can arise in your claim. If this occurs, further proceedings with the Workers' Compensation Board may be required. For example, you may need to undergo an independent medical examination if the insurance company requests it. This may provide additional proof of the scope of your injury and its link to your job duties.
You may also have to attend additional hearings with the Workers' Compensation Board to provide more evidence and documentation that supports your claim. If the judge's decision from your initial hearing is unfavorable, you have the right to appeal this decision. To appeal, you must file a request with the Workers' Compensation Board within 30 days of the judge’s decision.
If the board's decision still does not rule in your favor, you may appeal to the Appellate Division of the Supreme Court, Third Department. This further appeal requires legal briefs and can benefit greatly from the representation of an attorney experienced in workers' compensation law.