Certificates of Insurance

 

Member Access Only

 

WORKERS’ COMP FORMS

 

New York

 

ERM-114

 

Exclusion Form

 

C-2 Claim Form

 

C-3 Claim Form

 

C-4 Health Providers  

 

NYSIF WC Application

 

NYSIF Volunteers Firefighters Application

 

What Business Owners Must Know About WC

 

Claimant’s Authorization to Disclose Health Info

 

NYSIF Forms

Connecticut

 

Notice to Employees

 

Employer’s First Report of Occupational Injury

 

Form 1A

 

Form 6B

 

Form 6B-1

 

Employer Medical Care Plan Information Act

 

Authorization for the Release of Medical Info

 

Workers’ Comp Manuals, Handbooks, and Guidelines

 

New York

 

NY Workers’ Compensation Board Employers’ Handbook 2010

 

Instructions for Completing Form I-9

 

What Business Owners Must Know About Workers’ Compensation (New York WCB)

 

NY Carrier Code Numbers (Board Assigned W Numbers)

 

Connecticut

 

An Employee’s Pocket Guide to CT Workers’ Compensation

 

Bulletin No. 48 State of Connecticut Workers’ Compensation as Amended to 01/01/09

CT Workers’ Compensation Information Packet