Скачать или смотреть Common New York Workers' Compensation Forms

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As most employers have probably realized The New York Workers’ Compensation system can seem complicated at times, especially with the amount of paperwork required.

There are actually 30 different forms used within the system, but only a handful are frequently used and should be understood by employers.

Now since it's unrealistic to know all of these forms I am going to be going over the most commonly used forms and how to use them. This handful of forms include the first report of injury form, a C11, a C240, and a claimant information packet.

I will be explaining what each of these forms is, how they are used, and when employers need to take action.

A C-240 Form is the Employer's Statement of Wage Earnings. As an employer, you complete this form by providing the injured employees’ gross weekly earnings for the 52 weeks leading up to the date of injury. When completing this form you should include information such as; the week ending date, the gross weekly income, and the number of days worked per period for each of the 52 weeks.

To save time on this lengthy document, the New York Workers' Compensation Board will instead allow you to attach a detailed payroll printout as long as the document has the week ending dates, the number of days worked, and the gross amount paid for each of the 52 weeks as well as total figures.

The C-240 is used by the Board to determine injured workers’ Average Weekly Wage, which is what workers’ compensation lost time payments are based on.

There is a link in the description to this form and be sure to check out our other videos to learn more about New York workers’ compensation forms. Please contact me if you have any questions, thank you for listening, have a great day, and stay safe!

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