Form ADR-1 Report of Work-Related Injury or Occupational Disease - New York

What Is Form ADR-1?

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.

FAQ

Q: What is Form ADR-1?
A: Form ADR-1 is a report used in New York to document work-related injuries or occupational diseases.

Q: Who needs to fill out Form ADR-1?
A: Employers are responsible for filling out Form ADR-1 when an employee has a work-related injury or occupational disease.

Q: What information is required on Form ADR-1?
A: Form ADR-1 requires information such as the employee's personal details, the nature of the injury or disease, and details about the incident.

Q: How should Form ADR-1 be submitted?
A: Form ADR-1 should be submitted to the New York State Workers' Compensation Board.

Q: Why is Form ADR-1 important?
A: Form ADR-1 is important for both the employer and the employee as it helps ensure proper documentation of work-related injuries or occupational diseases.

Q: Are there any deadlines for submitting Form ADR-1?
A: Yes, Form ADR-1 must be submitted within 10 days of the employer's knowledge of the employee's work-related injury or occupational disease.

Q: Are there any consequences for not submitting Form ADR-1?
A: Failing to submit Form ADR-1 can result in penalties for the employer and may impact the employee's ability to receive workers' compensation benefits.