Instructions for Form C-3 Employee Claim - New York

Form C-3 Employee Claim - New York

This document contains official instructions for Form C-3 , Employee Claim - a form released and collected by the New York State Workers' Compensation Board. An up-to-date fillable Form C-3 is available for download through this link.

FAQ

Q: What is Form C-3?
A: Form C-3 is an employee claim form used in New York.

Q: Who can use Form C-3?
A: Employees in New York who have suffered a work-related injury or illness can use Form C-3.

Q: What is the purpose of Form C-3?
A: Form C-3 is used to report work-related injuries or illnesses and to file a claim for workers' compensation benefits.

Q: What information is required on Form C-3?
A: Form C-3 requires information about the employee, employer, injury or illness details, medical treatment, and any wages lost due to the injury or illness.

Q: Is there a deadline to submit Form C-3?
A: Yes, Form C-3 must be filed within two years from the date of the work-related injury or illness.

Q: What should I do after submitting Form C-3?
A: After submitting Form C-3, you should keep a copy for your records and follow any further instructions from the Workers' Compensation Board regarding your claim.

Q: Can I get legal representation for my workers' compensation claim?
A: Yes, you have the right to hire an attorney to help you with your workers' compensation claim.

Q: What happens after my workers' compensation claim is approved?
A: If your workers' compensation claim is approved, you may be eligible to receive benefits such as medical treatment coverage and wage replacement.

Q: What if my workers' compensation claim is denied?
A: If your workers' compensation claim is denied, you have the right to appeal the decision and request a hearing before a Workers' Compensation Law Judge.