Advantages of Using NYSIF eFROI®

NYSIF eFROI^®

NYSIF eFROI^® (First Report of Injury) saves you money and time by eliminating postage costs, allowing you to electronically report a work-related injury or illness to NYSIF and, if warranted, electronically file form C2, “Employers Report of Work-Related Accident/Occupational Disease,” with the Workers’ Compensation Board (WCB).

NYSIF eFROI^® is available to policyholders or third-party administrators 24/7. Using NYSIF eFROI^® allows NYSIF to quickly manage a claim. Fast and accurate reporting by the employer, can reduce overall claims cost.

There are two ways for policyholders and third-party administrators to electronically report an injury on our website:

The Short Form does not collect enough information to file a C2. NYSIF will need additional information from you to create a claim file for this reported accident. To determine if you have a reportable claim, you may view When to File a Claim.

The Long Form includes electronic submission of the C-2 to the WCB, eliminating surface mailing of the C-2 to the WCB. A copy of the C-2 is always available to you online for no less than 18 years. This meets the WCB and Occupational Safety and Health Administration record keeping requirements.

For security purposes while submitting the Short Form on our web site, your session automatically terminates after 25 minutes. Each of two sections of the Long Form automatically terminates 25 minutes after beginning each section.

Important information
The report is not received by NYSIF until you reach the NYSIF eFROI^® transaction page and get a transaction number. If you quit the process, or are disconnected before reaching the NYSIF eFROI^® transaction page, NYSIF will not receive your report. Do not use the back button on your browser, or you may lose the information you have entered.

To complete NYSIF eFROI^® you must have several pieces of information available.

Policyholder information:
Name and active policy number (required)
Federal Employer Identification Number (FEIN) (required)
Mailing address and contact information (required)
Nature of business (required)
Disability carrier’s name (required)

Injured worker information:
Name and Social Security Number or Immigration and Naturalization Service number (INS) (required)
Personal information, such as date of birth and gender (required)
Contact information, such as mailing address (required) and telephone number
Employment information, such as date of hire (required), wage information (required), job title (required), hour employee began work, date stopped working, last day paid, how long you will pay the employee return-to-work information, such as date and rate at which employee returned to work

Incident and injury information:
Date of the incident or injury (required)
Description of the incident or injury, such as what the employee was doing at the time of injury (required), how the accident occurred (required), nature of the injury (required), body part(s) injured (required) and cause of injury (required)
Was the accident related to the World Trade Center disaster? (required)
Where and when the injury occurred (required), and whether any witnesses were present Names, contact information and FEIN for any doctors and/or hospitals from whom the injured worker received treatment.

When will the injury report be processed?
NYSIF online services are available for injury reporting 24 hours a day, 7 days a week. Injury reports, however, are processed from 8:00 a.m. to 5:00 p.m. Eastern Standard Time, not including weekends or national holidays. Claims submitted outside of these normal business hours will be processed the next business day.
 
Proof of Submission
Once you submit and receive a transaction number, you may print a copy of your First Report of Injury as proof of submission.

Filing a false or fraudulent claim is a crime. Insurance fraud is a felony.