New York Injury Report Form
Description
How to fill out Injury Report Form?
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FAQ
The employer's role is critically important in the claims process, and the employer must provide details of the accident and verify the injured worker's account of the incident or illness. Note: Employees have 30 days to notify employers of an injury and two years to file a report of injury or illness.
New York State has a system for employees to report work-related injuries and illnesses. The system is called ARS, the Accident Reporting System. Call the ARS toll-free number, 1-888-800-0029, to report a work-related injury or illness 8 a.m. to 5 p.m., Monday through Friday (excluding holidays).
What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.
To file a Disability Benefits claim, an employee must complete NYSIF Form DB-450 and return it to NYSIF within 30 days of the onset after the start of the off-the-job injury or illness. For approved claims, Disability Benefits begin on the eighth day of disability.
NYSIF Announces Accident Reporting Hotline When a non-emergency work-related injury occurs, call us at 844.879. 2692 to report the injury and speak to a nurse triage specialist.
New York State has a system for employees to report work-related injuries and illnesses. The system is called ARS, the Accident Reporting System. Call the ARS toll-free number, 1-888-800-0029, to report a work-related injury or illness 8 a.m. to 5 p.m., Monday through Friday (excluding holidays).
You should immediately report your injury to your employer or immediate supervisor. Your employer must fill out a form, sometimes called a First Report of Injury, for every injury that occurs in the workplace. Make sure that your employer fills out a form for you.