Your Step-by-Step Complete Guide to Workers' Compensation in New York

If you've been injured on the job in New York State, including Queens and New York City, navigating the Workers' Compensation process may feel overwhelming. New York Injury Education by NYSSPM is here to help guide you through every step, connect you with injury specialists, and ensure you receive the care and support you need.

Here’s a step-by-step guide to help you understand what to do after a workplace injury, including important forms, timelines, and resources.

• Notify Your Supervisor or HR: As soon as possible after the injury, inform your employer of the incident. Report all injuries, even minor ones, as they can worsen over time. In New York State, you have 30 days from the date of injury to notify your employer.
• Provide Details of the Incident: Include the date, time, and location of the incident, along with a description of your injuries.
• Why This Step Matters: Prompt reporting ensures that your employer files the necessary paperwork with their Workers' Compensation insurance carrier, a critical step for securing benefits.

Form: There is no specific employee form required for this step, but it is recommended to document your report in writing for your records.

• Choose an Authorized Provider: To be covered by Workers' Compensation in New York, you must see a medical provider authorized by the New York State Workers' Compensation Board. Our partner practice, New York Sports Spine Pain Medicine, is an approved provider specializing in treating work-related injuries.
• Explain the Cause of Your Injury: When seeing the doctor, clearly state that the injury happened at work. This documentation is essential for your Workers' Compensation claim.
• Collect Initial Documentation: After the visit, keep records of all medical evaluations, doctor’s notes, and any recommended treatments.

Link to Authorized Providers: Find a New York State Workers' Compensation Authorized Provider

• Complete Form C-3 (Employee Claim Form): This form officially notifies the Workers' Compensation Board of your injury and initiates the benefits process. You can download a printable version of the C-3 form and mail your completed form, or submit the C-3 form online.
• Form Submission Deadline: Submit Form C-3 to the Workers' Compensation Board as soon as possible, but no later than two years from the date of the injury.
• How to File:
  • Online: You can complete and submit Form C-3 through the Workers' Compensation Board’s online portal.
  • By Mail: Download, print, and mail the form to the address on the form.
• What to Include: Describe the injury, how it occurred, and the body parts affected. Attach any relevant medical documentation you may already have.

• Claim Number: After filing, the Workers' Compensation Board will assign your case a unique claim number. Keep this number handy for reference in all communications.
• Communicate with Your Employer’s Insurance Carrier: Their insurer may contact you to discuss your injury and request additional information or documentation.
• Follow Up: You can monitor the progress of your claim online through the Workers' Compensation Board’s eCase system, which allows you to view claim details, hearing schedules, and documents related to your case.

Link to eCase: Access eCase (Workers' Compensation Claim Status): https://www.wcb.ny.gov/content/ebiz/ecase/ecase_overview.jsp 

• Follow Prescribed Treatments: Workers’ Compensation requires that you follow your doctor’s treatment plan. Missing appointments or not following prescribed therapies can jeopardize your claim.
• Record Treatment Progress: Keep records of all medical visits, treatments, medications, and any work restrictions your doctor prescribes.
• Work Status Updates: Your doctor may issue a C-4.3 form (Doctor's Report on Impairment), which details your injury’s impact on your ability to work. This report is shared with both the Workers' Compensation Board and the insurance carrier to verify your work restrictions and injury status.

Form C-4.3: This form is submitted by your doctor, but you can view it on eCase or request a copy from your provider.

• Medical Benefits: Coverage for approved medical treatments related to your workplace injury, including diagnostic testing, rehabilitation, surgery, and ongoing care.
• Lost Wages: You may receive partial wage replacement if your doctor determines you are temporarily or permanently unable to work. Wage replacement is calculated based on your average weekly wage and the degree of disability.
• Permanent Disability: If your injury results in a permanent disability, you may be eligible for additional benefits or a settlement. The Workers' Compensation Board may require you to attend a medical evaluation to determine the extent of the permanent injury.

• Discuss Return-to-Work Options: If your doctor approves, you may be able to return to work on light duty or with modified tasks. This option is encouraged if your injury allows and is often beneficial for both recovery and financial stability.
• Employer’s Accommodation: New York Workers' Compensation law requires your employer to reasonably accommodate your work restrictions when possible. Communicate closely with both your doctor and employer to facilitate a safe return to work.

• Request a Hearing: If your claim is denied, you have the right to request a hearing before the New York State Workers' Compensation Board to appeal the decision.
• Legal Assistance: You may consider hiring a Workers' Compensation attorney who can represent your interests and guide you through the appeal process. Attorney fees are typically a percentage of your benefits and are subject to approval by the Workers' Compensation Board.
• Gather Additional Documentation: Additional medical records or second opinions may strengthen your case during the appeal.

At New York Injury Education we connect you with top-tier providers, including orthopedic specialists, pain management specialists, physiatrists, and physical therapists at New York Sports Spine Pain Medicine. Our partner practice is here to support your recovery, from diagnostic imaging and interventional pain management to rehabilitation therapy—all coordinated under Workers' Compensation guidelines.

Ready to start your recovery? Contact us today to schedule an appointment with one of our injury care specialists. We’re committed to helping you get back to health and work.