Important updates to C-300.5 and C-312.5 Forms

New York State Workers' Compensation Board sent this bulletin at 04/07/2025 02:00 PM EDT

Important updates to C-300.5 and C-312.5 forms

Effective immediately, the New York State Workers' Compensation Board (Board) has updated Stipulation (Form C-300.5) and Agreed Upon Findings and Awards for Proposed Conciliation Decision (Form C-312.5).

Both updated forms now include fields to: 

  • Provide information on claimant representatives, substitutions, and related fee requests/agreements.   
  • Denote whether the case has a pending appeal. 

In addition, Form C-312.5 now includes the date the RB-89 was filed and will hereby be withdrawn when the Board decision becomes final. 

Older versions of the C-300.5 and C-312.5 forms will not be accepted after Monday, July 7, 2025. Please ensure you are using the updated forms to avoid processing delays. Translated versions of these forms will be posted on our website when they become available. 

More information 

If you have any questions or concerns regarding these updates, please contact officeofgeneralcounsel@wcb.ny.gov.