Workers' Compensation Forms

Here you can find most frequently used NYS Workers’ Compensation forms used for starting a claim with WC Board.

These forms may be submitted to New York State Workers’ Compensation Board via fax, email or mail. Return receipt request is important to be able to prove you have submitted the form on time.

Customer Service: 877-632-4996

By Fax: 877-533-0337

By Mail: NYS Workers’ Compensation Board
PO Box 5205
Binghamton, NY 13902-5205