Workers compensation c 2 form 2025

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The CA-1 form should be used if you have sustained a traumatic injury on the job. A Traumatic Injury is a wound or other condition of the body caused by external force, including stress or strain.
If youve been injured on the job, you may be entitled to workers compensation benefits. In order to receive these benefits, youll need to fill out a C4 form. This form is used to report your injury to your employer and to the workers compensation insurance carrier.
What You Shouldnt Tell Your Workers Comp Doctor Never lie about prior injuries, pre-existing conditions, or medical history. Never lie about the extent of your workplace injury or how it happened. Do not exaggerate your symptoms, including pain or functionality.
Form CA-1 is used for a traumatic injury (a medical condition resulting from an incident or activity occurring during one work shift). Form CA-2 is for an occupational disease (a medical condition resulting from an incident or activity occurring over more than one work shift).
EMPLOYERS REPORT OF WORK-RELATED INJURY/ILLNESS C-2 State of New York - Workers Compensation Board. If one of your employees has a work-related injury or illness, you must complete and file this form within 10 days of. the injury/illness or be subject to a penalty.
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Occupational diseaseAn employee, or someone act- ing on the employees behalf, is required to file a written claim of occupational disease within three years. OWCP Form CA-2 should be used for this purpose.
This form is used if the employee has sustained an occupational disease as a result of job duties. Occupational Disease - A condition produced in the work environment over a period longer than one work day or shift.

c2 form