ARS Online Manual
Claims Forms
What does SIF Determination mean?
After a First Report of Injury (FROI) has been successfully submitted, New York State Insurance Fund (NYSIF) will make a claim determination. Dependent upon the incident determination made by NYSIF, a C-6, a C-7 or a C-9 form will be issued acknowledging the claim. The form name will be displayed on the SIF Determination page under the Claims Management component.
What are the differences in between the C-6, C-9 and C-7 forms?
After a First Report of Injury (FROI) has been successfully submitted, the SIF case manager will make a determination on whether a claim is accepted or denied. The case manager may issue a C-6, C-7 or C-9 form.
The C-6 form is sent when SIF does not dispute the claim and begins to pay the employee for his/her lost time as a result of the work-related injury.
The C-9 form is sent when SIF does not dispute the claim, but does not begin payment of compensation for a specific reason (i.e. the employee did not lose time from work, no medical evidence of the disability was received from the treating physician, the employee is paid wages in full by his/her employer, etc.)
The C-7 is sent when SIF controverts, or disputes, the claim for a specific reason (i.e. the accident did not arise out of and in the course of employement, proper notice was not give, the injury was not a result of the work-related accident, etc.).