Get C105 2

Filling out the C105 2 form is an essential part of the workers' compensation process in New York State. This guide provides clear, step-by-step instructions to help users complete this form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the header section. This usually includes entering basic information such as the claim number, date, and your name as the applicant.
3. Next, complete the section detailing the injuries or conditions being claimed. Be specific about the nature of the injuries, including dates and the circumstances surrounding them.
4. Proceed to the employer information section. Here, enter the name and address of your employer, along with the policy number associated with the workers' compensation insurance.
5. Fill out the section concerning medical treatment. Include the names of medical professionals you have seen, the dates of treatment, and relevant procedures conducted.
6. Review your entries for accuracy. Ensure that all information is complete and correctly stated, as inaccuracies can cause delays in processing your claim.
7. Once completed, save your changes. You may also have the option to download the document, print it for your records, or share it directly with relevant parties as required.

Complete your documents online to ensure a smooth filing process.