Workers' Compensation
Contact:  Marie Paine 845-298-5000 x 40154

Workers' Compensation Memo (dated 7/9/14)
Supervisor's Investigation and Report of Incident
Letter for Medical Provider (2021-2022)

NYS Workers' Compensation Board

• C-3 Form  EMPLOYEE CLAIM
• C-11 Form EMPLOYER'S REPORT OF INJURED EMPLOYEE'S CHANGE IN EMPLOYMENT STATUS RESULTING FROM INJURY