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Workers' Compensation Forms

Employee Accident Reporting

Employees use these forms to report an injury sustained at work to your employer.

  • Quick Employee Injury Packets: This document contains all information and required forms for County employee injuries.

Other Employer Forms



* Carrier name and address:
Warren County SIF
1340 State Route 9, Lake George NY 12845,
Carrier Code: W874754
This information applies to Workers Compensation forms