Get Ny C-258 2010

The NY C-258 form is designed to assist claimants in documenting their job search efforts while receiving workers' compensation benefits. This guide provides a clear and supportive overview of how to complete the form accurately and efficiently online.

Follow the steps to complete the NY C-258 form online.

1. Click 'Get Form' button to obtain the document and open it in the online editor.
2. Begin by entering your full name in the 'Claimant's Name' field. Ensure that this matches the name on your workers' compensation claim.
3. Input your WCB case number in the designated field. This number is crucial for identifying your claim in the system.
4. In the 'Date of Contact' section, provide the dates on which you reached out to potential employers, agencies, or unions.
5. Fill in the 'Employer's Name & Address' section with the names and contact details of each employer you reached out to during your job search.
6. Indicate the 'Method of Contact' using the defined abbreviations (T for Telephone, P for In Person, R for Resume, E for E-mail, L for Letter, A for Employer's Application).
7. Record the 'Name and Telephone No. of Person Contacted' to ensure you have a point of reference for follow-up.
8. Document the 'Position Applied For' to track the roles you are seeking.
9. Answer the question 'Was Application Taken?' by specifying if you submitted an application with a yes or no.
10. Finally, note the 'Result of Contact' to summarize the outcome of your interaction, whether it was a positive response, a rejection, or pending status.
11. If you need more space, continue your list on separate sheets of paper and attach any relevant copies of resumes or communications.
12. Once you have filled out all required sections, save your changes, and choose to download, print, or share the completed form as needed.

Complete your NY C-258 form online today to effectively document your job search efforts.