Workers Compensation for New York

New York Agreement To Pay Medical Costs In The Event Of Failure To Prosecute Or If Compensation Claim Is Disallowed
File .pdf (20.5 Kbytes)
New York Application For Acceptance Of Insurance Form
File .pdf (31.2 Kbytes)
New York Application For Approval Of Non-schedule Adjustment
File .pdf (97.4 Kbytes)
New York Attachment To Form_______ (may Accompany Any Board Form.)
File .pdf (32 Kbytes)
New York Attending Doctor`s Report
File .pdf (106.3 Kbytes)
New York Attending Ophthalmologist`s Report
File .pdf (104.9 Kbytes)
New York Attorney/ Representative`s Application For Fee
File .pdf (30.6 Kbytes)
New York Carrier`s Designation Of Authorized Representatives
File .pdf (29 Kbytes)
New York Carrier`s Report On Rehabilitation
File .pdf (52.8 Kbytes)
New York Carrier`s Request For Reimbursement Of Compensation Payments Under Section 14(6) Concurrent Employment (form Must Be Printed On
File .pdf (19.5 Kbytes)
New York Carrier`s Request For Reimbursement Of Compensation Payments Under Section 15-8 (form Must Be Printed On Yellow Paper)
File .pdf (32.9 Kbytes)
New York Carrier`s Request For Reimbursement Of Medical Expenses Under Section 15-8 (form Must Be Printed On Pink Paper)
File .pdf (13.6 Kbytes)
New York Claim For Compensation & Notice Of Commencement Of Third Party Action
File .pdf (36.5 Kbytes)
New York Claim For Compensation In Death Case
File .pdf (48.9 Kbytes)
New York Claim For Volunteer Ambulance Workers` Benefits In A Death Case
File .pdf (59 Kbytes)
New York Claim For Volunteer Firefighter Benefits In A Death Case
File .pdf (61.5 Kbytes)
New York Claimant`s Authorization To Disclose Workers` Compensation Records (wcl Section 110-a)
File .pdf (37.3 Kbytes)
New York Claimant`s Notice Of Independent Medical Examination
File .pdf (32.2 Kbytes)
New York Claimant`s Record Of Medical & Travel Expenses
File .pdf (34.7 Kbytes)
New York Conciliation Process (rights & Responsibilities
File .pdf (16.6 Kbytes)
New York Continuation To Carrier/employer Billing Section Of Form C-4
File .pdf (86.6 Kbytes)
New York Cover Sheet - Application For Board Review
File .pdf (265.5 Kbytes)
New York Cover Sheet - Application For Board Review
File .pdf (201.2 Kbytes)
New York Discharge Or Discrimination Complaint
File .pdf (34.5 Kbytes)