Form C-11 Employer's Report of Injured Employee's Change in Employment Status Resulting From Injury - New York

What Is Form C-11?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on June 1, 2022;
• The latest edition provided by the New York State Workers' Compensation Board;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form C-11 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.