New York Claims Forms

These forms are provided free for your use.

The forms provided here are in Adobe Acrobat "Portable Document Format", and must be viewed and printed with Adobe Acrobat Reader. If you don't have Acrobat Reader already installed on your computer, simply click on the link to go to Adobe's web site and download your free copy of Reader.

•   Instructions for reporting Worker's Compensation Accidents
  
  
•   NY Employer's Report of Work-Related Accident: Form C-2
  
  
•   No Loss Time Claim Form
  
  
•   Workers’ Compensation Safety Group #489 Alert
  
  
•   Job Demands Summary
  
  
•   Physical Capabilities Worksheet
  
  
•   Supervisors Accident Investigation