How to Read a New York Workers’ Comp Notice of Decision

A Notice of Decision is the written record the New York Workers’ Compensation Board issues after a judge or the Board acts on a case. It is not a letter from your employer or the insurance carrier — it is the Board’s own statement of what was decided, carrying the case identifiers, the date, and the official findings on a single set of pages.

Reading it is less about predicting what happens next and more about understanding what already happened. The document follows a fixed order, so once you know that order, the page stops feeling like a wall of text and starts reading like a form with labeled fields. This guide walks through each part in the order it appears.

At a glance: the parts of a Notice of Decision

Almost every Notice of Decision is built from the same four blocks, top to bottom:

  1. A header block that identifies the case, the parties, and the date.
  2. A findings section stating what was decided.
  3. A set of directions — the instructions that follow from the findings.
  4. A standardized review paragraph describing the right to ask for further review.

If you can locate those four blocks, you can read any decision the Board sends, because the structure rarely changes from one notice to the next.

What the document is — and what it is not

The Notice of Decision records an official action in your case. It is generated by the Board, not by the people on the other side of the claim. That distinction matters, because injured workers often receive several pieces of mail at once — letters from the carrier, forms from a treating provider, and notices from the Board — and they do not all carry the same weight.

  • A carrier letter is the insurer’s own communication. It may describe what the carrier intends to do, but it is not a ruling.
  • A Proposed Decision is a Board document that becomes binding only if no one objects within the stated period; it is not the same as a decision that has already been made after a hearing.
  • A Notice of Decision reflects a determination that a Workers’ Compensation Law Judge (WCLJ) or the Board has actually made.
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Knowing which document you are holding is the first step, because each one sits at a different point in the process.

The header block: who, what, and which case

The top of the notice carries the case identifiers. You will typically see a WCB Case Number, the claimant’s name, the employer’s name, the carrier or third-party administrator, and the carrier’s own case number. These match the numbers that appear inside eCase, which is how you confirm the notice belongs to the right file rather than to a different claim with a similar name.

The header also names the body that acted. If a WCLJ made the decision, the notice reflects that; if the matter went to the full Board on review, the notice will say so. The date on the header is the issuance date, and it is the anchor for any timeframe printed later in the document. When a deadline is mentioned further down, it is almost always counted from this date.

The findings: what was actually decided

The findings section is the heart of the notice. It states, in numbered or paragraph form, what the deciding authority concluded. A finding might establish the claim for a specific body part, set an average weekly wage, fix a degree of disability for a period, or resolve a single contested issue such as causal relationship.

Read each finding as a self-contained statement. A line that establishes the case “for the back and right shoulder” is describing the accepted scope of the claim, not a comment on any other body part. A line that sets an average weekly wage is reciting a number used to calculate benefits, not promising a payment. The findings describe conclusions; they do not coach you on what to do about them.

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When a finding references a medical opinion or an exhibit, it is pointing back to a document already in the file — a C-4.3 permanent-impairment report, an independent medical examination (IME) report, or a hearing transcript. Those references are how the notice ties its conclusions to the evidence the Board considered, and you can usually open the same exhibits in eCase to see what was relied on.

Common findings and what they describe

A handful of findings show up again and again. Recognizing them makes the section far easier to read:

  • Established sites of injury — the body parts or conditions the claim is accepted for.
  • Average Weekly Wage (AWW) — the wage figure used as the basis for calculating benefit rates.
  • Causal relationship — a determination that a condition is, or is not, connected to the work injury.
  • Degree of disability — a finding (such as total or a percentage of partial) for a defined period.
  • Schedule loss of use (SLU) — a percentage finding for certain permanent injuries to extremities.
  • Apportionment — a split of responsibility where more than one cause or injury is involved.

Each of these is simply a label for a conclusion the Board reached. None of them, on its own, tells you what your next move should be.

The directions: what flows from the findings

After the findings, the notice usually lists directions — the operational instructions that follow, such as a direction to make payments at a stated rate for a stated period, or a direction that the case is continued for further development on a specific point.

A direction to continue the case means the Board has not finished with a particular issue. A direction that the case is closed or placed in no further action (NFA) status means the Board considers the matter resolved for now. Neither phrase is a verdict on your situation as a whole — a closed case can be reopened if circumstances change, and a continued case simply has an open thread the Board still intends to address.

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The review language at the end

Most notices end with a standardized paragraph describing the right to seek review and the window for doing so. This block is printed on nearly every decision; its presence does not signal that anything is wrong with your particular notice.

Read literally, it states that a party who disagrees may ask the Board to review the decision, and that a request must be made within the period the notice specifies. That window is strict, and it is counted from the issuance date in the header — which is one reason the date at the top matters so much. The standardized closing is informational framing the Board includes by default, not a new conclusion about your file.

Abbreviations you will see

  • WCLJ — Workers’ Compensation Law Judge.
  • AWW — Average Weekly Wage.
  • SLU — Schedule Loss of Use.
  • IME — Independent Medical Examination.
  • NFA — No Further Action.
  • C-4.3 — the doctor’s report used for permanent-impairment findings.

A simple way to read it when it arrives

  1. Confirm the WCB Case Number matches your file.
  2. Note the issuance date — any deadline counts from it.
  3. Read the findings one line at a time, treating each as a separate statement.
  4. Check the directions to see whether the case is continued, closed, or set for payment.
  5. Read the closing review paragraph as the standard notice it is, and note the deadline it states.

Worked through in that order, even a dense decision becomes readable. This guide explains what the document says and how it is organized; it is general information about New York workers’ compensation paperwork, not legal advice, and it cannot tell you how a particular finding affects your claim. If a decision’s deadline or outcome could matter to your case, confirm the details with the Workers’ Compensation Board or a qualified attorney.

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