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New York State
Workers' Compensation Board
OFFICE OF THE CHAIR
20 Park Street   Albany, New York 12207
Governor Andrew M. Cuomo


Subject No. 046-296R2

Faxing Documents to The Workers' Compensation Board

Date: January 26, 2012

Revises Subject No. 046-296R dated February 22, 2011, with respect to Form C-32.1 no longer requires an original signature.

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 OC-110A, Form MD-3, Form MD-1, Form AFF-1, WTC-12, 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. To ensure that all faxed documents are scanned to the proper case folder, please include the WCB case number on the cover page, if used, and each page of any faxed documents. If a WCB number has not been assigned, please include the claimant's name and date of accident on each page.

Thank you for your cooperation.

Robert E. Beloten
Chair