Get Ny C-27 2019-2026

The NY C-27 form is essential for documenting medical changes that support the reopening of a workers' compensation claim. This guide will help you navigate the online process of completing the form efficiently and accurately.

Follow the steps to complete the NY C-27 form online.

1. Click ‘Get Form’ button to access the NY C-27 document and open it in your preferred online editor.
2. Begin by filling out the patient’s information. Provide the injured person's full name, age, and complete address, including any apartment number.
3. Enter the employer's name and address at the time of the injury. If the claim pertains to volunteer work, specify the corresponding employer's details.
4. If known, fill in the WCB case number and the carrier case number for reference. Include the date and time of the injury.
5. Clearly state how the accident or injury occurred in the injured person’s own words. This detail is crucial for processing the claim.
6. Answer the remaining questions regarding treatment dates, current disability status, and present medical conditions based on the latest examination.
7. Ensure the attending physician completes their section including their name, signature, and license details. Remember that certain professionals must have their reports notarized.
8. Review all provided information for accuracy and clarity. Avoid using indefinite terms to enhance the specificity of the information.
9. Once you have completed the form, save your changes. You can also download, print, or share the completed document as needed.

Complete your NY C-27 form online today for efficient processing of your workers' compensation claim.