Search results with tag "Related injury"
Employer's First Report of C-2F Work-Related Injury/Illness
www.wcb.ny.govWork-Related Injury/Illness . C-2F. A work-related injury or illness must be reported within 10 days (Per Section 110) of the injury/illness or be subject to a penalty. Employers are not required to submit form C-2F to the Workers' Compensation …
EMPLOYER'S REPORT OF WORK-RELATED INJURY/ILLNESS …
unyumc.orgEMPLOYER'S REPORT OF WORK-RELATED INJURY/ILLNESS State of New York -Workers' Compensation Board C-2 C. EMPLOYEE'S PERSONAL INFORMATION 1. Name: 3. Mailing Address: 4. Social Security Number: 6. Gender: Male WCB Case Number (if you know it): If one of your employees has a work-related injury or illness, you must complete and file this form ...
Year 20 Log of Work-Related Injuries and Illnesses
www.osha.govU.S. Department of Labor Occupational Safety and Health Administration OSHA’s Form 300 (Rev. 01/2004) Year 20__ __ Log of Work-Related Injuries and Illnesses You must record information about every work-related death and about every work-related injury or illness that involves loss of consciousness, restricted work activity or job transfer,
State of New York – Workers’ Compensation Board ...
www.wcb.ny.govC-2F Instructions Page 1 of 2 State of New York – Workers’ Compensation Board Instructions for Completing Form C-2F “Employer's First Report of Work-Related Injury/Illness” Enter the name of the injured employee at the top of the report. Fill out the Date of Injury/Illness, to the best of your knowledge.