The PRM Companies
PO Box 12305
Albany, NY 12212
(800) 958-7475

 
 


Program Risk Management, Inc. (PRM) offers low cost self-insured programs, risk and claims management, loss prevention and loss control for trade groups and associations that have an interest in group purchasing.

PRM specializes in the formation and management of unique "alternative funding" plans including workers' compensation and group purchasing programs for associations and trade groups in New York State.  Click on the "Programs" tab to learn more.


 

Claimant Information Packet now available online

The Claimant Information Packet now mandated by the New York State Workers' Compensation Board is now available as a PDF document on our website. To download and/or print the document, click the link on the right side of this page or click here.

Adobe Reader is required to view these forms. If you don't have Adobe Reader installed, you can get it  by clicking here.


 

 

Forms C-11 and C-240 Added to Website

We have recently added New York State Workers' Compensation Board Forms C-11 and C-240 to our homepage (please see the links in the right-hand column of this page). You may now complete these forms on your computer, then print and mail or fax them to us.

Adobe Reader is required to view these forms. If you don't have Adobe Reader installed, you can get it  by clicking here.



New C-2 Employer's Report of Work-Related Injury/Illness must be
in use by January 1, 2009

As part of the Workers' Compensation Reform initiative, the NYS Workers' Compensation Board has redesigned several key forms the Board uses to gather information about a claim. One of these is the C-2 Employer's Report of Work-Related Injury/Illness.

This form now requests additional information, such as:

  • Workers' Compensation policy period

  • Date the employee gave notice of accident/illness

  • Employee's supervisor and a list of any witnesses

As always, we encourage you to fill out the form as completely as possible and to submit it to PRM Claim Services, Inc. immediately following a work-related injury.

A sample copy of the new C-2 form is available by clicking here. This form is now included in our Online C-2 claim reporting module and our WebClaim Online Claim Reporting System as well.

All parties are to begin using the new C-2 forms as soon as possible, but no later than January 1, 2009.

Please feel welcome to contact us with any questions.


 

 
 

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Form C-11
Employer's Report of Injured Employee's Change In Employment Status Resulting from Injury

Form C-240
Employer's Statement of Wage Earnings

Claimant Information Packet
This packet should be given to all injured workers at the time they report a work-related injury