Get C-2f Form - Employer's First Report Of Work ... - Steuben County - Steubencony

Filling out the C-2F Form is an essential process for employers reporting work-related injuries or illnesses in Steuben County. This comprehensive guide provides clear, step-by-step instructions to help you navigate the form efficiently and accurately.

Follow the steps to complete the C-2F Form effectively.

1. Click the ‘Get Form’ button to obtain the C-2F Form and open it for editing.
2. At the top of the report, enter the name of the injured employee and the date of injury/illness to the best of your knowledge.
3. If unknown, leave the Workers' Compensation Board Case Number and Claim Administrator Claim Number fields blank, as they are not required for processing.
4. In the Insurer/Claim Administrator Information section, fill out the insurer name, ID, claim administrator details, and any additional contact information if available.
5. Provide the employee's information, including their full name, mailing address, date of hire, date of birth, gender, and social security number.
6. Specify the employee's occupation description and complete the Claim Information section, which asks for the time of injury, employment status, estimated weekly wage, and days worked per week.
7. In the Employee Injury section, indicate whether wages were fully paid for the date of the injury, initial treatment type, and if the injury resulted in death, along with any pertinent details.
8. Complete the Work Status section by filling in the last day worked, return to work type, and any physical restrictions, as well as return to work dates and status.
9. Document the accident location and witnesses by specifying the premises, organization name, and providing witness information.
10. Lastly, fill in the Employer Information, including the employer's name, FEIN, UI number, and any necessary addresses. Also, include the supervisor's name and business phone number.
11. Once all fields are completed, review all information for accuracy before saving changes, downloading, printing, or sharing the form.

Complete your C-2F Form online today to ensure timely processing of work-related injury reports.