Workers Compensation Claims Management

Required Information for Line of Duty Injury Paperwork

Carrier Name: Nassau County

Policy Number: Self Insured

Carrier Case Number: None (There is no carrier case number for new injuries. If your injury is a re-occurrence of an old injury, use the carrier case number assigned by workers comp after the initial incident.)
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Triad Group LLC

Triad Group LLC Website

400 Jordan Road Suite 302
Troy, New York 12180

(800) 337-7419

PBA Workers Compensation & Disability Attorneys

Fusco, Brandenstein & Rada, P.C.

Administrative Headquarters

180 Froehlich Farm Blvd.
Woodbury, NY 11797

(516) 496-0400

NCPD Extension: 4414

Fax: (516) 921-3078

View Website

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FAQ

What should I do if I sustain a line-of-duty injury?

For Line of Duty (LOD) Injuries ...

All injured officers should get an aided number.
Rules and Regulations state that injuries must be reported within 7 days of occurrence.
Make sure a PBA rep is present when the initial report is written.
It is imperative that the initial report is written correctly. Incorrect documentation could lead to a loss of benefits.
The injured officer is not required to seek medical attention immediately.
If an aided number is given and the PO signs on sick, he/she must see the surgeon within 24 hours. If the injury is a re-occurrence of a previous injury, then you must see the surgeon immediately (if ambulatory) if the surgeon's office is open, or within 24 hours if the surgeon's office is closed.
If he/she is in too much pain or is not able to travel, call MAO at 573-7410 and ask to schedule your visit at a later time or date.
Keep in mind, that the injured officer can still be ordered in.
If the officer gets an aided number and does not go on sick leave, he/she must see the Surgeon on his or her next tour that coincides with the Surgeon's hours.
Disputes over time off for recovery are resolved by a 207-C or Medical Review.
Form C-3 must be filled out within 10 days. These are completed with the aided packet.

Also...

LOD injuries require no out-of-pocket expense for the injured officers.
Any questions, call a PBA representative or the PBA Workers Compensation attorney for help.

“Be sure to thoroughly review all Body Camera Footage prior to completing any statements”

Surgeon's Office Hours of Operation

Monday - Friday: 0900 - 1615 hours and 1900 - 2100

Saturday: 0900 - 1100

Sunday: 1000 - 1100

Holidays: 1000 - 1100

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