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Request action on your workers' compensation claim
New York State Workers' Compensation Board
Information Status
Individuals can file a request with the Workers' Compensation Board when they want the Board to take a specific action in their workers' compensation claim or if they need to alert the Board to any problem or situation that is affecting their claim.
Eligibility Requirements
Request form should be used if you have a claim that is accepted by the insurer. It should not be used for claims that are controverted by the insurer or for claims that the insurer has not yet accepted.
Documentation Needed to Enroll
Request for Assistance by Injured Worker (Form ERFA-1W)
ADA accessible
Yes
Accessibility notes
Reasonable accommodation is available for Workers' Compensation Board accommodations, programs, and services. Contact the DRA/ADA Coordinator at 518-486-9564 or officeofgeneralcounsel@wcb.ny.gov for more information or to request accommodation forms.
Citizenship Requirements
No citizenship requirements
free
Yes
Available Languages
Bengali,
Haitian Creole,
Italian,
Korean,
Mandarin,
Polish,
Russian,
Spanish
states
New York
Locations
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Open on Wednesday and Thursday.
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Counties serviced: Allegany, Cattaraugus, Chautauqua, Erie, and Niagara.
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