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Access frequently-used workers' compensation and disability benefits forms below. Many of the forms link directly to the Workers' Compensation Board website. Please note that these forms are in PDF format. Each browser has its own settings to control how PDFs open from a web page.
https://ww3.nysif.com/Home/FooterPages/Column1/Forms
NYSIF DB policyholders can download and print a certificate in just minutes if they have an online account at nysif.com, or by directly emailing us at certificates@nysif.com. Employers can elect to pay the total cost of DB coverage or share those costs with employees.
www.nysif.com/DisabilityBenefits
NYSIF offers three convenient options to conduct a payroll verification or workers' compensation audit: Onsite: To have a NYSIF auditor meet with you onsite at your place of business or a representative’s office, make an appointment using our Premium Audit Scheduling System (PASS), which is available 24/7.
https://ww3.nysif.com/en/Employer/WCpolicyholder/AboutAuditing/P...
If I experience discrimination because of the release or disclosure of HIV-related information, I may contact the New York State Division of Human Rights at (212) 480-2493 or the New York City Commission of Human Rights at (212) 306-7450. These agencies are responsible for protecting my rights.
https://ww3.nysif.com/-/media/Files/NYSIF_General_Info/PDF/Legal...
Always include your name, date of correspondence and NYSIF case number in all contacts with NYSIF. Provide all medical providers with the NYSIF case number as soon as it is assigned. Claimants receiving medical treatment for compensable claims should have medical bills sent directly to NYSIF.
https://ww3.nysif.com/Home/Claimant/WCClaimant/ClaimantResponsib...
6. ¿Cómo sucedió la lesión/enfermedad? (por ejemplo, me tropecé con un caño y me caí al piso) 7. Explique completamente la naturaleza de la lesión/enfermedad; enumere las partes del cuerpo afectadas (por ejemplo, torcedura de tobillo y corte en la frente):
https://ww3.nysif.com/-/media/Files/Language_Access/PDFs/2022/Au...
The NYSIF Claim App is a free app which can be found by searching NYSIF Claim in your phone’s app store. You will need your NYSIF claim number and a valid email address to begin. Beneficiaries will be prompted to enter the claim number of the deceased claimant.
https://ww3.nysif.com/-/media/Files/CLAIMS/PDF/ClaimantMobileApp...
New York State has set an ambitious goal of net-zero emissions by 2040. Hear how state agencies, including NYSIF, DEC and NYPA, plan to get there. (12/9/24) Is the estimated $8.4 trillion of ESG investment assets having a measurable impact on climate change and the overall economy?
https://ww3.nysif.com/Home/FooterPages/Column5/ESG
For assistance with your claim, call the Workers’ Compensation Board (Board) at (877) 632-4996. Notify your employer, in writing, detailing when, where and how you were injured or became ill. Do this as soon as possible within 30 days of injury or illness. Do not text it; instead send a letter, email or other document that can be saved or printed.
https://ww3.nysif.com/-/media/Files/CLAIMS/PDF/ARS_CIP.pdf
NYSIF offers direct deposit for claimants to receive workers’ compensation benefits. In cooperation with your financial institution, NYSIF can deposit benefit payments directly to your bank account. You can even elect to distribute your payments between two bank accounts (by percentage).
https://ww3.nysif.com/-/media/Files/CLAIMS/PDF/DD-APP-WCF-fillab...
