C 240 Form ≡ Fill Out Printable PDF Forms Online
Form C-240. Employer's statement of wage earnings preceding date of accident. • attaching payroll documentation, which includes days worked and wages per week for the prior.
• attaching payroll documentation, which includes days worked and wages per week for the prior. Promptly report accurate wage and attendance information about the injured worker to nysif by submitting form c. Within 10 days of request by the board. Employer's statement of wage earnings preceding date of accident.
• attaching payroll documentation, which includes days worked and wages per week for the prior. Promptly report accurate wage and attendance information about the injured worker to nysif by submitting form c. Within 10 days of request by the board. Employer's statement of wage earnings preceding date of accident. • attaching payroll documentation, which includes days worked and wages per week for the prior.
