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Click ‘Get Form’ to open the C-2F in the editor.
Begin by entering the injured employee's name at the top of the report, followed by the Date of Injury/Illness. If you lack a Workers' Compensation Board Case Number, leave that field blank.
In the Insurer / Claim Administrator Information section, provide details such as Insurer Name and ID, along with Claim Administrator contact information.
Fill out Employee Information including their full legal name, mailing address, phone number, date of hire, and other personal details.
Complete Claim Information by indicating the time of injury, employment status, estimated weekly wage, and work week type.
For Employee Injury details, check relevant boxes regarding wages paid and initial treatment type. Describe the accident in detail.
Lastly, provide Employer Information including name, FEIN, and supervisor contact details before saving your completed form.
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Employers First Report of Work-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
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