NY Work Comp L § 110 (2021)
2021 New York Laws WKC - Workers' Compensation Article 7 - Miscellaneous Provisions. 110 - Record and Report of Injuries by Employers.

§  110.   Record and report of injuries by employers.  1. An employer,   or a third party designated by the employer, shall record any injury  or   illness  incurred  by  one  of its employees in the course of employment   using the form prescribed by the  chair  for  reporting  injuries  under   subdivision  two  of this section.   Such form, a copy of which shall be   provided to the injured employee upon request, shall  be  maintained  by   the  employer, or a third party designated by the employer, for at least   eighteen years, and shall be subject to review by the chair at any time.   Such form need not be filed with the chair unless  the  status  of  such   injury  or  illness  changes  resulting  in  a loss of time from regular   duties  or  in  medical  treatment  which  would  require  reporting  in   accordance with subdivision two of this section.2.    An  employer, or a third party designated by the employer, shall   file with the chair of the workers'  compensation  board  and  with  the   carrier if the employer is insured, upon a form prescribed by the chair,   a  report  of any accident resulting in personal injury which has caused   or will cause a loss of time from regular duties of one day  beyond  the   working  day  or  shift  on  which  the  accident occurred, or which has   required or will require medical treatment beyond ordinary first aid  or   more  than  two treatments by a person rendering first aid.  Such report   shall state the name and nature of the business  of  the  employer,  the   location  of  its  establishment or place of work, the name, address and   occupation of the injured employee, the time, nature and  cause  of  the   injury and such other information as may be required by the chair.  Such   report  shall  be  filed  within  ten  days  after the occurrence of the   accident.  An employer shall furnish a report of an occupational disease   incurred by an employee in the course of his or her employment,  to  the   chair  of  the  workers'  compensation  board, and to the carrier if the   employer is insured, upon the same form.  The carrier,  within  fourteen   days  of  receipt  of  the  report  or  accompanying  the  initial check   forwarded to the employee,  whichever  is  earlier,  or  a  self-insured   employer,  within  fourteen days of transmitting the report to the chair   or accompanying the initial check forwarded to the  employee,  whichever   is earlier, shall provide the injured employee or, in the case of death,   his  or  her  dependents  with a written statement of their rights under   this chapter, in a form prescribed by the chair.  An employer shall file   a report of any other accident resulting in personal injury incurred  by   its  employee  in the course of employment, upon the same form, whenever   directed by the chair.3.  Any injury or illness which is not  required  to  be  reported  in   accordance  with subdivision two of this section, shall not be used as a   basis  for  determining  experience  modification  rates,  provided  the   employer pays in the first instance or reimburses the employer's insurer   for the treatment rendered to the employee.4.    An  employer who refuses or neglects to make a report or to keep   records as required by this section shall be guilty  of  a  misdemeanor,   punishable  by  a fine of not more than one thousand dollars.  The board   or chair may impose a penalty of not more than two thousand five hundred   dollars upon an employer who refuses or neglects to make such report.5. The chair shall be authorized to promulgate  regulations  necessary   to carry out the provisions of this section.