Employer's Workers' Compensation Report of Injury

Would you like to report an injury to NYSIF with electronic submission of an eC-2 to the Workers’ Compensation Board (WCB)? Would you like to learn more about When to File a Report of Injury?

Learn about Important information needed for using eFROI. This is recommended for first time users. Once a report is filed via NYSIF eFROI®, it cannot be edited or resubmitted electronically.

The employer must provide the injured employee with a Claimant Information Packet (Compendio Información Reclamante). This information must be provided by the employer to the injured employee before filing Employer's Report of Work-Related Injury/Illness (Form C-2).

If the policy number is not active or not able to process, complete a paper version of Employer’s Report Of Work-Related Injury/Illness (Form C-2). Please print and mail a copy to NYSIF and to the WCB. Or you may call us at one of our NYSIF office phone numbers.

If the injured party is employed by New York State, you may report the incident to Civil Service Accident Reporting System (ARS) or by calling 1-888-800–0029.

Please print and mail a copy to NYSIF and to the WCB. Or you may call us at one of our NYSIF office phone numbers.

Important Notice: Policyholders must report death claims to OSHA within eight hours or face severe OSHA penalties.

   
Report an Injury Using NYSIF eFROI®

Review a Prior NYSIF eFROI® Submission

You will need the following:

Report made after July 1, 2009:
  • NYSIF eFROI® Loss identification number a/k/a Claim number
  • NYSIF Policy number
  • Last four digits of the Injured Worker's SSN
Report made before July 1, 2009:
  • NYSIF eFROI® transaction number
  • NYSIF Policy number
  • Last four digits of the Injured Worker's SSN

Volunteer Firefighters  and Ambulance Workers

NYSIF eFROI® electronic web reporting is not able to accommodate injury/illness covered under the Volunteer Ambulance Workers’ Act or the Volunteer Firefighters’ Act at this time. You may complete a paper form:

  • Political Subdivision’s Report of Injury for Volunteer Ambulance Worker (Form VAW-2)
  • Political Subdivision’s Report of Injury for Volunteer Firefighter (Form VF-2)

Please print and mail a copy to NYSIF and to the WCB. Or you may call us at one of our NYSIF office phone numbers.