Get Ny C-2f Instructions

Filling out the NY C-2F is an essential process for reporting work-related injuries or illnesses. This guide provides clear and comprehensive instructions to help you complete the form accurately online, ensuring all necessary information is included for timely processing.

Follow the steps to successfully complete the NY C-2F Instructions online.

1. Click ‘Get Form’ button to obtain the NY C-2F Instructions and open it in your online editor.
2. Enter the name of the injured employee at the top of the report. Fill out the Date of Injury/Illness as accurately as possible.
3. Leave the Workers' Compensation Board Case Number or Claim Administrator Claim Number field blank if not known, as it's not required.
4. In the Insurer / Claim Administrator Information section, provide the Insurer Name and Insurer ID, contacting your insurer if you do not know the W number.
5. Fill out the Claim Administrator's name and any relevant contact information, along with their address.
6. Complete the Employee Information section by entering the injured employee’s full legal name, mailing address, phone number, date of hire, date of birth, gender, Social Security Number, and description of their occupation.
7. In the Claim Information section, input the time of injury, date the employer learned about the injury, employment status, date employer was informed of the disability, estimated weekly wage, number of days worked per week, work week type, and corresponding work days scheduled.
8. For Employee Injury, indicate if full wages were paid, if salary continued in lieu of compensation, select the type of initial treatment, and whether the injury resulted in death, along with dependent information if applicable.
9. Specify the nature of the injury, part of the body injured, causes of injury, and a narrative description of the accident.
10. Complete the Work Status section with dates last worked, whether they returned to work, initial date of disability, physical restrictions, and if they returned to work with the same employer.
11. In the Accident Location and Witnesses section, specify the location of the accident, provide any description, and list witnesses with contact information.
12. Fill in the Employer Information by entering company or owner’s name, FEIN, UI number, and other necessary details.
13. Complete the Insured Information including the name, FEIN, location ID, type of insurance, policy number, and effective dates.
14. After completing all sections, review the form for accuracy and completeness, then save your changes. You may download, print, or share the form as needed.

Take action now by completing the NY C-2F Instructions online to ensure your report is submitted accurately.