El Empleado deberá: • Reportar inmediatamente su lesión o enfermedad ocupacional a su empleador. El empleado deberá: 1.Notificar inmediatamente por escrito al empleador sobre la lesión o enfermedad ocupacional. Candidates who wish to withdraw must complete a Candidacy Withdrawal Form. Thank you for choosing Builders Mutual Insurance Company as your commercial insurance carrier. Employer's payment of the undisputed portion cannot restrict the right of the employee to continue a claim for the rest of the wages. Albany, New York 1212. Use Form NC-5500 Request to Waive Penalties to submit for a penalty waiver.