New York State

Workers' Compensation Form

INSTRUCTIONS

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).

Schedule an Appointment

At any of our convenient locations

Albany, Clifton Park, Saratoga

Monday – Friday
8:30am to 4:30pm

Albany: (518) 463-0171
Clifton Park: (518) 371-6772
Saratoga: (518) 682-2240

Directions for each location:

Amsterdam

Monday – Friday
8:30am to 4:30pm

(518) 463-0107

Directions for this location:

Queensbury

Monday – Friday
8:30am to 4:30pm

(518) 682-2240

Directions for this location: