Workers compensation c 2 form 2026

1. Click ‘Get Form’ to open the workers compensation C-2 form in our editor.
2. Begin by filling out Section A, Employer Information. Enter your company name, FEIN, mailing address, and contact details accurately.
3. Proceed to Section B for Insurance Carrier details. If self-insured, provide your Board W Number; otherwise, enter your insurance carrier's information.
4. In Section C, input the employee's personal information including their full name, date of birth, and contact details.
5. Move to Section D to describe the injury or illness. Include specifics about the time of injury, location, and nature of the incident.
6. Complete Sections E through H regarding medical treatment received, return-to-work status, and payroll information before signing at the end of the form.

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