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Form C-3 Employee Claim - New York
What Is Form C-3?
This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form C-3?
A: Form C-3 is an employee claim form in New York.
Q: What is the purpose of Form C-3?
A: Form C-3 is used to report work-related injuries or illnesses and file a claim for workers' compensation benefits.
Q: Who should fill out Form C-3?
A: Employees who have suffered a work-related injury or illness should fill out Form C-3.
Q: What information is required on Form C-3?
A: Form C-3 requires information about the employee, the employer, the injury or illness, and other relevant details.
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;
- Available in Spanish;
- 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-3 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form C-3 Employee Claim - New York
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