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Form C-240 Employer's Statement of Wage Earnings (Preceding the Date of Injury / Illness) - New York
What Is Form C-240?
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 C-240?
A: Form C-240 is an Employer's Statement of Wage Earnings in New York.
Q: What is the purpose of Form C-240?
A: The purpose of Form C-240 is to report wage earnings preceding the date of injury or illness for workers in New York.
Q: Who needs to fill out Form C-240?
A: Employers in New York need to fill out Form C-240.
Q: When should Form C-240 be completed?
A: Form C-240 should be completed as soon as possible after the injury or illness occurs.
Form Details:
- Released on June 1, 2017;
- 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-240 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form C-240 Employer's Statement of Wage Earnings (Preceding the Date of Injury / Illness) - New York
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