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Subject Number 046-1106 Reminder and Clarification Regarding Form Submission Guidelines

Board Bulletins and Subject Numbers

September 28, 2018

To improve customer service for all stakeholders and to reduce system costs, the Workers’ Compensation Board issued guidelines on submitting forms and other documents on Subject No. 046-909 dated January 4, 2017. The following are an addition to, or a re-emphasis of, those guidelines.

Avoid Duplicate Filing of Forms

The Board asks that you refrain from submitting forms more than once or in multiple formats. The quality of customer service diminishes when resources must be dedicated to sorting through duplicate forms to resolve an issue. Duplicate filings increase the amount of time required to respond to a customer request for further action or a status update on a pending request.

Duplicate submissions may be deemed to be raising or continuing an issue without reasonable grounds, will never result in higher fees being granted, and may subject the sender to penalties under Workers’ Compensation law § 114-a(3).

Forms Applicable to Multiple Claims for the Same Claimant

Forms may reference more than one WCB Claim Number for the same claimant but the submitter is required to submit a separate copy of the form for each claim (with the relevant WCB Claim Number listed first and/or underlined/circled) to ensure that a copy is placed in each case folder. Failure to submit a copy for each claim and properly identify the WCB Claim Number may result in duplicate filings to the same claim and therefore a penalty.

If you experience technical difficulty with the electronic submission of forms, please contact the WCB Customer Support Unit by email at or by phone at (844) 337-6305. For assistance with forms submitted through the Web Upload Link, please email

Clarissa M. Rodriguez