Form C-3R Employee Claim - New York (Russian)

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.

The document is provided in Russian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-3R?
A: Form C-3R is a claim form used by employees in New York to report a work-related injury or illness.

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

Q: Is Form C-3R available in languages other than English?
A: Yes, Form C-3R is available in Russian and several other languages for the convenience of employees.

Q: What information should I provide on Form C-3R?
A: You should provide detailed information about your injury or illness, including the date, time, and location of the incident, as well as a description of what happened.

Q: Are there any time limits for filing Form C-3R?
A: Yes, you should file Form C-3R within two years from the date of your injury or illness or within two years from the date you knew or should have known that the condition was related to your employment.

Q: What should I do if I need assistance with completing Form C-3R?
A: If you need assistance with completing Form C-3R, you can contact the New York State Workers' Compensation Board or reach out to your employer's workers' compensation insurance carrier.

Q: What should I do after submitting Form C-3R?
A: After submitting Form C-3R, you should keep a copy for your records and follow any instructions provided by the Workers' Compensation Board or your employer's insurance carrier.