To submit your Workers’ Compensation (EC-4NARR) Form, please fill out the following information. Most fields are required. Forms will be processed within 2 days. If additional information is needed, we will contact you.

Please call the office if you need immediate assistance.

A confirmation email will be sent to you shortly after you submit your request.

The Doctor’s Narrative Report (EC-4NARR) is a new form the Board is providing to health care providers to assist with filing medical reports with the NYS Workers’ Compensation Board.

The EC-4NARR form will only be accepted by the Board through electronic submission. Every EC-4NARR filed with the Board is electronically signed by a Board authorized health care provider in compliance with the New York State Electronic Signatures and Records Act (ESRA) and its accompanying regulation (9 NYCRR 540).