Our free PDF editor was built to make working with legal and government forms simple and fast. You can view and complete the C 27 Workers Compensation Form online using FormsPal's tools without installing any software. Follow the steps below to get started.
Step 1: Click the orange "Get Form Now" button on this page to open the C 27 form in our online editor.
Step 2: The form editing page opens. Review the existing content and add any required information directly to the form fields.
Fill out the C 27 Form PDF and enter the correct details for every section:
In the first section, provide the details for If yes what duties Working, If yes who is your employer, Have you previously worked in any, If yes who is your employer, Vocational rehabilitation, Vocational rehabilitation is an, Benefits/earnings received or, Receiving Beginning date of benefit, Type of benefit Unemployment If yes, Yes No Yes No Yes No, Yes No, Wages/salary continuation If yes, Yes No, and Yes No.
In the second section, complete the fields for Wages/salary continuation If yes, Earnings to include full or part, Yes No, Injured worker signature, I understand I am not permitted to, Date, and C BWC Rev March.
Step 3: When finished, click "Done" to save the completed C 27 form. You can download the file to your device or send it directly by email from FormsPal.
Step 4: Save at least two copies of the completed workers compensation form, one for your records and one for your medical provider or legal representative.
Tips for Completing the C 27 Workers Compensation Form
Review all sections of the C 27 form carefully before signing. Make sure the information about your current medical condition, employment status, and any received compensation benefits is accurate and up to date. Errors or omissions on a workers compensation form can delay benefit payments or affect the outcome of your claim review.
If any section of the form refers to vocational rehabilitation or wages/salary continuation, gather supporting documentation from your employer or medical provider before completing those fields. Workers who are receiving disability compensation benefits should list all types accurately to avoid discrepancies in the claims process.
Common Questions About the C 27 Form
Who fills out the C 27 Form?
The C 27 form is primarily completed by the attending physician or chiropractor treating the injured worker. The injured worker also reviews and signs the form to confirm the accuracy of all information provided.
Can chiropractors file the C 27 Form?
Yes. Chiropractors are authorized to file the C 27 workers compensation form in New York when they are the treating provider for an injured worker whose condition has changed meaningfully.
What happens after the C 27 is submitted?
After the C 27 form is submitted to the NY Workers' Compensation Board, the board reviews the medical evidence and determines whether to reopen, modify, or continue the compensation case. Processing times vary based on claim complexity and caseload.
You may also need the Workers' Compensation Intake Form or the Disability Claim Form depending on the stage of your compensation case.
