N.Y. Comp. Codes R. & Regs. tit. 12, § 380-8.2
(b) An eligible employee who wishes to file a complaint under section 120 of the Workers’ Compensation Law shall do so in the format prescribed by the chair.
(1) An employee complaint under this section must be served on the employer at the time it is filed with the board, and must contain:
(3) A complaint that does not include the information required under paragraph (b)(1) of this section may be rejected by the board.
(c)