Hopefully, you are not injured while on the job, but if you are, this guide will walk you through the steps necessary to file a workers’ compensation claim in the state of New York. The New York State Workers Compensation Board (Board) is responsible for workers’ comp claims. If you are injured, you must submit an Employee Claim Form (C-3) as soon as possible after your injury to ensure there is no delay in receiving your or that they are interrupted. In addition to filing a claim, you must notify your employer in writing. In the letter to your employer, include the date and time, location, and details of how you were injured or became ill. The most convenient and quickest way to file the claim form is to complete the online version of the Employee Claim Form (C-3). You can also file a claim form by mail by printing the Employee Claim Form (C-3) and mailing it to the address below:
NYS Workers’ Compensation Board
Centralized Mailing Address
PO Box 5205
Binghamton, NY 13902-5205
You can also visit any Workers’ Compensation Board Office to file a claim or for assistance. You may also call the Workers Compensation Board at (877) 632-4996 for help with filing a claim.
After your injury, any services you receive concerning your workers’ comp related injury must be provided by a health care provider authorized by the Workers’ Compensation Board. The only exception to this is the treatment in an emergency situation.
For information about and a list of authorized providers, you can call the Board at 1-800-781-2362 or use the Health Care Provider and Independent Medical Examiner Search website. For those employers that have been authorized to use a Preferred Provider Organization(PPO) or Alternate Dispute Resolution (ADR) program, you may have to receive your treatment from a health care provider within that network. You may also have to have any tests or prescriptions filled within your employer’s network. Employers using PPO or ADR programs are required to provide employees information about the programs in writing.
Any cost of medical services related to your injury is paid by your employer’s insurance carrier, as long as there is no dispute related to your case. The health care providers you receive services from may require you to sign form A-9. The A-9 form provides you notice that you may be responsible for the cost of their services if the Workers’ Compensation Board disallows the claim or if you do not pursue the claim.
Park Avenue Trauma’s physicians are authorized by the Workers’ Compensation Board and provide the most complete and comprehensive care for our patients, ensuring that they get the best possible care for their injuries. Our well-trained staff of medical doctors, physical therapists, and administrative personnel are dedicated to providing our patients with the highest quality care available.