Claimant Checklist

  1. After a claim is filed, the first document a claimant receives from NYSIF is Form DP-G1, "Personal Privacy Protection Law Notification" (PDF file).The carrier case number, employer’s name and the date of the accident are clearly listed in the center at the top of this document.
  2. Carrier case number is also referred to as the CC#, NYSIF case number or claim number. NYSIF assigns a case number when a claim is filed. Claimants should always use their NYSIF case number when contacting NYSIF. All correspondence should include your name, the date of correspondence and the NYSIF case number.
  3. The claimant should provide all medical providers with the NYSIF case number as soon as it is assigned.
  4. Medical bills for claimants receiving WC medical and compensation benefits should be sent to NYSIF. Compensable injury treatment and medical services are not to be processed through major medical insurance coverage or Medicare.
  5. The claimant is responsible for making sure all medical providers send updated medical reports to NYSIF.
  6. If an Independent Medical Exam (IME) is arranged for you by NYSIF, you must make every effort to attend the appointment as scheduled. If a claimant cannot appear for a scheduled IME, call the IME doctor and your case manager for a new appointment.
  7. When claimants submit reimbursement requests to NYSIF for:
  • Prescription and durable medical equipment, they must include a copy of the prescription from the prescribing doctor and the purchase receipt;
  • Transportation and mileage, they must include dates of the medical appointments, the medical providers' names and addresses where treatment were rendered, and receipts for tolls and public transportation;
  • Always include your name, your NYSIF case number and date of correspondence on everything you send to NYSIF.
  1. Keep copies of ALL documents received from, or mailed to, NYSIF including receipts for reimbursement.
  2. If your phone numbers or addresses change, you need to advise both NYSIF and the Workers Compensation Board (WCB).