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eForms Overview

As the New York State Workers' Compensation Board (Board) continues its efforts to expand the OnBoard family of services, we are focusing on the use of web-based platforms and electronic data submission to streamline our processes and move away from paper forms. To that end, we're transitioning to electronic submission of forms.

The electronic submission process will include data validation, provide additional fields to capture more specific information, ensure receipt of all required information, and automatically update the case file upon successful submission. These benefits will reduce errors and processing time compared to the current paper form process.

The Board will develop three electronic submission methods:

  • eForm: An eForm add-on will be implemented in eCase that will enable users to complete the form and submit it electronically. The new process will walk users through each field in the eForm using a web-based wizard.
  • XML File: A file submission process, via secure file transfer protocol (sFTP), will be developed to submit electronic XML data to the Board.
  • API: Development of an online submission process via an application programming interface, or API, will enable separate computer systems to talk to one another and exchange XML data, eliminating manual eForm data entry and streamlining the flow of form data into the case file.

There will be a mandatory testing process for stakeholders opting to submit form data via XML files or API. The testing must be completed successfully in order to submit electronic form information to the Board (for those stakeholders that opt in to using XML or API). There will be no testing process for stakeholders that submit eForm via eCase.

If you are interested in using the XML File or API submission processes, please review the eForms list below and click on the Form ID to obtain the technical requirements. You can also email the Board at eForms@wcb.ny.gov for more information about requirements and how you can prepare for the transition.

eForms

Form ID Form Title Who Files Where to File When to File Submittal Options

Form ID

RFA-1LC

RFA-1LC

Form Title

Request for Further Action by Legal Counsel

Who Files

Claimant's representative

Where to File

Electronically filed with the Workers' Compensation Board, with PDF copy to employer's insurance carrier or directly to employer or third-party administrator if employer is a Board-approved self-insurer.

When to File

The form may be filed at any time after the assembly or indexing of a claim or after the Board has indicated that no further action (NFA) will be taken.

Submittal Options

  • eCase
  • API
  • XML file

Form ID

RFA-2

RFA-2

Form Title

Request for Further Action by Insurer/Employer

Who Files

Insurance carrier or Board-approved self-insured employer

Where to File

Electronically filed with the Workers' Compensation Board, with PDF copy to claimant and claimant's representative, if any.

When to File

The form may be filed at any time after the assembly or indexing of a claim or after the Board has indicated that no further action (NFA) will be taken.

Submittal Options

  • eCase
  • API
  • XML file

Latest eForms News

January 24, 2025

XML Data Information

The RFA-1LC-XML-Data-Requirements-and-Edits.xlsx documentation has been updated and posted on the eForms RFA-1LC page.

The updates are summarized on the Change Log tab of the RFA-1LC-XML-Data-Requirements-and-Edits.xlsx document, starting at row 87.

Application Enhancements

  • Name change of request reason title

    Claimant is at maximum medical improvement and agrees with insurer's IME permanency report or has obtained their own IME permanency report has been changed to Claimant is at maximum medical improvement and a medical report on permanency has been filed or the claimant agrees with the insurer's IME permanency report. The corresponding instructional text and options will be updated accordingly.

  • The Back & Neck, Extremities, and Head & Trunk "Check/Uncheck All" boxes were removed from the eForm Body Parts pop up.
  • A new field called "Current Earnings" was added to the "Claimant is entitled to reduced earnings" request reason. This field will assist with the calculation of any reduced earnings.
  • Attorneys will have the option of including their email address on the Attestation section of the eForm to allow an additional form of contact to be provided. This field will only display on the RFA-1LC if a value is entered into the email address field in the eForm/API.