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claimant information packet - NYSIF

Employers must give injured workers a claimant information packet (available in several languages under Workers' Comp Claim Forms - Employer) when filing claims.

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutClaims/C...

Forms - NYSIF

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

Policyholder Responsibilities - NYSIF

DB claimants are eligible for a statutory rate of 50% of their weekly wages up to a maximum benefit of $170 per week for up to 26 weeks. Employers can elect to provide enriched benefits, which provide greater maximum benefits at marginally higher premium costs.

www.nysif.com/DisabilityBenefits

Microsoft Word - Spanish Employers claimant information packet 2012.docx

Para cancelar su acuerdo, visite nysif.com, regístrese como reclamante y seleccione la opción “Unsubscribe from direct deposit”/Cancelar suscripción al depósito directo."

https://ww3.nysif.com/-/media/Files/CLAIMS/PDF/JULY2021DD-WCFSpa...

Claimant Responsibilities - NYSIF

Promptly return all forms and requests for information from NYSIF, including the WA-1 (Work Activity Form). NYSIF periodically sends this form to claimants requesting certification of current employment status and continued entitlement to workers' compensation benefits.

https://ww3.nysif.com/Home/Claimant/WCClaimant/ClaimantResponsib...

Essential Forms - NYSIF

Promptly report accurate wage and attendance information about the injured worker to NYSIF by submitting Form C-240 to establish the validity of a claim and the compensation rate, if awarded.

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutYourPoli...

About Your Claim - NYSIF

To expedite the claim process, provide NYSIF details about your injury, treatment and prognosis when contacted. Follow up with your employer to provide specifics about when you will be able to return to work, any changes in your ability to work, or your work status.

https://ww3.nysif.com/Home/Claimant/WCClaimant/AboutYourClaim

Claimant Help - NYSIF

You can learn more about how we collect and use information by reviewing our Privacy Policy or contacting our Privacy Compliance Officer via email at privcomp@nysif.com.

https://ww3.nysif.com/en/Advisor/AdvisorSpring2020/ClaimantHelp

NYSIF

NYSIF provides workers' compensation, disability and paid family leave coverage to New York State and beyond — and we've been doing it for 110 years. Guaranteed and affordable coverage for New York.

https://ww3.nysif.com/Home.aspx

UNDERSTANDING YOUR WORKERS’ COMPENSATION INSURAN - NYSIF

NYSIF.com Online Account User Guide - Policyholders provides information on online account management; retrieving policy documents; and creating, reviewing and validating certificates.

https://ww3.nysif.com/-/media/Files/NYSIF_Publications/PDF/ONLIN...