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New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
328 State Street  Schenectady, New York 12305
Governor David A. Paterson


Subject No. 046-296

Faxing Documents to The Workers' Compensation Board

Date: March 19, 2009

Supersedes Subject No. 047, Policy Statement on Submission of Forms by FAX Machine; amends Subject No. 046-144 only with respect to the fax number to be used for filing applications for review and rebuttals.

Effective February 25, 2009, the Workers' Compensation Board allowed claims-related documents to be filed with the Board by fax. The following toll-free number is to be used:

1-877-533-0337

Applications for Administrative Review and Full Board Review, as well as rebuttals, (Forms RB-89, RB-89.1, RB-89.2 and RB-89.3) should be faxed to this new fax number, which replaces the current fax number dedicated for such submissions, which will be discontinued on April 1, 2009.

Faxes will be accepted 24 hours a day, 7 days a week.

The received date for all documents faxed to the above number will be recorded by a stamp on the document that indicates the complete date and time the fax was received; e.g., "Received by WCB Fax on 2/23/2009 9:41:16 AM".

Forms That Should Not Be Faxed:

  • Forms and other documents not related to a specific workers' compensation injury should not be faxed to this number. Non-claims forms and documents should be sent by mail to the appropriate Board office or department. Processing of such documents will be delayed if they are received via the fax line.
  • Forms that require verification of the original signature, Form C-3.3, Form C-32.1, Form OC-110A, Form MD-3, Form MD-1, Form WTC-12, AFF series, WTC-AFF series, and 110A correspondence with a notary stamp, should not be faxed. If such forms are received by fax, the sender will be contacted and asked to send the original document to the Board by mail, thus delaying the processing of the case and in some instances risking a penalty for late filing.

When faxing a document to the Board, please be sure that it is complete and has full case identification information. Fax cover sheets are not required.

Thank you for your cooperation.

 

Zachary S. Weiss
Chair