New York State Workers' Compensation Forms
Please select a workers' compensation form below:
New Claim Forms Packet
The Packet consists of required New York State Workers' Compensation forms to be filled out by the injured employee.
DT-1 Notice PDFPrescription Drug FormsNCA currently works with two prescription drug providers. Check with your HR department to determine which one your company utilizes.
New C-2F Form Document (To be completed by employer)
The new C2F form has replaced the C2. This form can be completed and printed via the link below, or also completed electronically through the "Clients Only" section of this website. If you would like to login to complete this form electronically, please contact email@example.com for your username and password instructions.
Municipal Employee Form: The following forms are specific to certain types of municipal employees:
Other Important Claims Forms for Employers
The field-fillable forms above can be completed in one of two ways:
Forms can then be delivered by fax, mail, or in person to NCAComp or to the appropriate location.
14 Lafayette Square • Suite 700 • Buffalo, New York 14203 • ph 716-842-0045 • firstname.lastname@example.org