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IN RE: the Claim of Juan DUTA–ZUMBA, Claimant, v. URBAN ATELIER GROUP, LLC, et al., Appellants, et al., Respondents. Workers’ Compensation Board, Respondent.
MEMORANDUM AND ORDER
Appeal from a decision of the Workers’ Compensation Board, filed February 27, 2024, which ruled that claimant sustained an accidental injury arising out of and in the course of his employment.
In July 2022, claimant filed a claim for workers’ compensation benefits alleging that he sustained work-related injuries to his right ankle, neck, shoulders and back when the ladder he was using to install sheetrock shifted, causing him to fall. Level 5 Carpentry and its workers’ compensation carrier (hereinafter collectively referred to as the carrier) controverted the claim, contending, among other things, that it did not employ claimant and therefore should be discharged from the claim. At a subsequent hearing, a Workers’ Compensation Law Judge (hereinafter WCLJ) found prima facie medical evidence for work-related injuries to claimant's shoulders, left knee, neck and back. Following deposition testimony from physicians who had examined claimant, as well as a hearing, the WCLJ credited claimant's testimony as to the details of his employment and injury, found that Level 5 was the proper employer of record and established the claim for work-related injuries to the left knee, back, bilateral shoulders and neck that arose out of and in the course of his employment. Upon administrative review, the Workers’ Compensation Board affirmed, finding claimant's testimony credible and that he sustained injuries that arose out of and occurred in the course of his employment. This appeal by the carrier ensued.
We affirm. Where an underlying accident is unwitnessed, “Workers’ Compensation Law § 21(1) provides a presumption that an accident that occurs in the course of employment also arises out of that employment” (Matter of Sarmiento v. Empire Contr. of N.Y. Corp., 188 A.D.3d 1384, 1384, 135 N.Y.S.3d 189 [3d Dept. 2020] [internal quotation marks and citations omitted]; accord Matter of Mendrok v. New York City Tr. Auth., 202 A.D.3d 1173, 1174, 163 N.Y.S.3d 290 [3d Dept. 2022]; see Matter of Docking v. Lapp Insulators LLC, 179 A.D.3d 1275, 1276, 116 N.Y.S.3d 440 [3d Dept. 2020]). That said, “the statutory presumption cannot be used to establish that an accident occurred in the first instance, and it does not wholly relieve a claimant of the burden of demonstrating that the accident occurred in the course of, and arose out of, his or her employment” (Matter of Ferrari v. Darcon Constr. Inc., 170 A.D.3d 1392, 1393, 95 N.Y.S.3d 480 [3d Dept. 2019]; see Matter of Leon v. Monadnock Constr. Inc., 208 A.D.3d 1415, 1416, 174 N.Y.S.3d 484 [3d Dept. 2022]; Matter of Petesic v. Fox 5 N.Y., 174 A.D.3d 1198, 1199, 103 N.Y.S.3d 198 [3d Dept. 2019]). “Whether a compensable accident has occurred is a question of fact to be resolved by the Board and its determination will not be disturbed when supported by substantial evidence” (Matter of Mendrok v. New York City Tr. Auth., 202 A.D.3d at 1174, 163 N.Y.S.3d 290 [internal quotation marks and citations omitted]; accord Matter of Bosque v. Prime Support Inc., 226 A.D.3d 1280, 1281, 209 N.Y.S.3d 233 [3d Dept. 2024]; Matter of Docking v. Lapp Insulators LLC, 179 A.D.3d at 1275–1276, 116 N.Y.S.3d 440).
At the hearing, claimant testified that, on July 7, 2022, he was working as a carpenter assistant for Level 5 at the job site where it was engaged in providing carpentry and drywall services. On the C–3 form and in his testimony, claimant identified a coworker by nickname who witnessed the accident. Claimant also testified to how he was hired, and he identified a supervisor – also identified by the carrier's witness – who paid him for his work for Level 5. Each of claimant's physicians as well as the carrier's consultants produced medical reports reflecting that claimant consistently reported the mechanism of injury and his injuries. The Board maintains broad authority to make credibility determinations, to draw reasonable inferences from the record evidence and to serve as the sole arbiter of witness credibility (see Matter of Vasquez v. Northstar Constr. Group Servs. Inc., 205 A.D.3d 1250, 1253, 169 N.Y.S.3d 375 [3d Dept. 2022]). According deference to the Board's resolution of the credibility of claimant's testimony, substantial evidence supports the Board's ruling that the accident occurred and that claimant's injuries arose out of and in the course of his employment (see Matter of Leon v. Monadnock Constr. Inc., 208 A.D.3d at 1416–1417, 174 N.Y.S.3d 484; Matter of Vasquez v. Northstar Constr. Group Servs. Inc., 205 A.D.3d at 1253, 169 N.Y.S.3d 375; Matter of Quigley v. Concern for Ind. Living, 146 A.D.3d 1185, 1186, 45 N.Y.S.3d 658 [3d Dept. 2017]; Matter of Wait v. Hudson Val. Community Coll., 120 A.D.3d 1456, 1456–1457, 991 N.Y.S.2d 681 [3d Dept. 2014]; compare Matter of Sarmiento v. Empire Contr. of N.Y. Corp., 188 A.D.3d at 1385, 135 N.Y.S.3d 189).1
We reject the carrier's related contention that its right to due process was violated when it was not allowed to investigate the coworker about claimant's relationship with him because, according to the carrier, the coworker's name was unknown and unknowable until claimant testified to it at the hearing. The Board was not required to accept the carrier's explanation for failing to identify the coworker from the information provided by claimant on the C–3 form; and, in any event, the carrier did not seek an adjournment to secure the coworker's testimony (see Matter of Metzger v. Champion Intl. Corp., 301 A.D.2d 800, 802, 753 N.Y.S.2d 597 [3d Dept. 2003]; Matter of Sammaritano v. Attractive Fashions, 96 A.D.2d 627, 627, 464 N.Y.S.2d 875 [3d Dept. 1983], lv denied 60 N.Y.2d 558, 469 N.Y.S.2d 1026, 457 N.E.2d 809 [1983]). In our view, the carrier received an “opportunity to be heard at a meaningful time and in a meaningful manner” (Mathews v. Eldridge, 424 U.S. 319, 333, 96 S.Ct. 893, 47 L.Ed.2d 18 [1976] [internal quotation marks and citation omitted]; accord Matter of Maffei v. Russin Lbr. Corp., 146 A.D.3d 1207, 1209, 45 N.Y.S.3d 671 [3d Dept. 2017]). We have reviewed the carrier's remaining contentions and find them to be without merit.
ORDERED that the decision is affirmed, without costs.
FOOTNOTES
1. We also note that “there are no medical opinions in the record connecting claimant's fall [and resulting injuries] to any idiopathic reasons” (see Matter of Quigley v. Concern for Ind. Living, 146 A.D.3d at 1186, 45 N.Y.S.3d 658).
Aarons, J.
Clark, J.P., Lynch, Ceresia and Fisher, JJ., concur.
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Docket No: CV-24-0601
Decided: October 02, 2025
Court: Supreme Court, Appellate Division, Third Department, New York.
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