Should
I File a Claim?
The completion of a C2, Employer’s
Report of Injury, is mandatory unless the claim falls into
a “First Aid” or “Category A” claim.
These claims can be handled internally; however, rec ords
of the injury must be maintained by the employer for 18
years.
Instructions
for Reporting a Claim
Review the Keevily, Spero-Whitelaw instructions
for reporting a Workers’ Compensation Claim.
Report
Claim Online
The benefit of reporting claims online is
that the State Insurance Fund begins their processing and
investigation immediately. The appropriateness of medical
treatment, the facts surrounding the alleged accident and
the validity of the injury will be investigated faster than
if the C2 was sent by mailed or fax. After completing the
electronic C2, print two copies. Keep one for your records
and mail or fax the second to Keevily, Spero-Whitelaw.
IMPORTANT –
Keevily, Spero-Whitelaw will NOT be able to monitor the
claim and assist you with limiting lost work days and other
cost cutting measures immediately if you, the insured, do
not send us a copy of the electronic C2.
Report a Claim by Fax or
Mail
Complete the C2 or No Lost Time report in
writing and
- Fax the completed form to 914-381-1134.
or
- Mail the completed form to
Keevily, Spero-Whitelaw
500 Mamaroneck Ave
Harrison, NY 10528
C2 - Employer's
Report of Injury 
No
Lost Time Report
Keevily, Spero-Whitelaw
has developed tools designed help your company reduce the
cost of claims, shorten disability periods and eliminate
abuse or fraud. We have a staff of Workers’ Compensation
professionals who are available to assist you with claim
issues or to help you incorporate these programs into your
existing safety program.
Accident
Investigations
Fraud
Prevention
Early
Return to Work Program
Below are some links to additional resources to assist
in your claim processing.
NYSIF
Claim
Guide for the Employer
Report
Fraud or Abuse
Employer’s
Claim Inquiry
Injured
Worker’s Inquiry / Where’s my Check?
Injured
Worker’s General Inquiry
Workers' Compensation Board
C11
Form / Employer's Report of Injured Worker's Change in Employment
Status
C240
/ Employer's Statement of Wage Earnings
OSHA
OSHA
Recordkeeping
