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Leave Regulations for employees who are under the Career and Salary Plan) INSTRUCTIONS: The injured employee, or an authorized person acting in his behalf, should submit this election notice (in duplicate) to the head of his department or agency within the first seven calendar days of absence due to injury sustained in the performance of official duties. I, , employed in , (Print name of injured employee) (Print na.

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The number is 212-306-4000. Callers may remain anonymous, if desired. For information on how to make a Freedom of Information Law request of the Housing Authority, please visit our FOIL Request Page for a list of frequently asked questions.

Call: 866-396-8314. Submit a paper C-3 form.

All inquiries related to EFT payment effective date, claim/benefit explanations, and discontinuation of payments should be directed to the Law Department at workerscompensation@law.nyc.gov or by phone at (718)724-5500.

If you filed a claim and were assigned a number, you can call (646)264-3000 for information about your claim. If you are a U.S. Department of Labor employee, please call (816)502-0301 for claim status information.

(877) 632-4996.

The New York State Workers' Compensation Board administers workers' compensation, disability benefits and Paid Family Leave.

Continuation of Pay. The CA-2 Notice of Occupational Disease form should be used if you have sustained an occupational disease injury on the job. An Occupational Disease is a condition produced in the work environment over a period longer than one work day or shift.

City employees are covered for workers' compensation (with the exception of uniformed police officers, firefighters and uniformed sanitation workers). Also covered are all non-pedagogical employees of the Department of Education and all employees of the Health and Hospitals Corporation and the City University.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Dp 2002 Form
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1993 NY Form DP2002
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