New York Forms


 624 State Forms found

name number revision print or send online

CLAIM FOR COMPENSATION IN A DEATH CASE (Polish)

C-62P (10-12)

CLAIM FOR COMPENSATION IN A DEATH CASE (Russian)

C-62R (10-12)

Notice That Claimant Must Arrange for Diagnostic Tests & Examinations through a Network Provider

DT-1 (3-12)

Access to Services in Your Language: Complaint Form

LAC-1 (07/22)

Access to Services in Your Language: Complaint Form (Spanish)

LAC-1_S (07/22)

Access to Services in Your Language: Complaint Form (Chinese)

LAC-1_C (07-22)

Access to Services in Your Language: Complaint Form (Haitian Creole)

LAC-1_H (07-22)

Access to Services in Your Language: Complaint Form (Italian)

LAC-1_I (07/22)

Access to Services in Your Language: Complaint Form (Korean)

LAC-1_K (07/22)

Access to Services in Your Language: Complaint Form (Polish)

LAC-1_P (07/22)

Access to Services in Your Language: Complaint Form (Russian)

LAC-1_R (07/22)

CLAIMANT'S AUTHORIZATION TO DISCLOSE WORKERS' COMPENSATION RECORDS (Chinese)

OC-110A (2-17)

CLAIMANT'S AUTHORIZATION TO DISCLOSE WORKERS' COMPENSATION RECORDS (Haitian Creole)

OC-110A (12-17)

CLAIMANT'S AUTHORIZATION TO DISCLOSE WORKERS' COMPENSATION RECORDS (Italian)

OC-110A (12-17)

CLAIMANT'S AUTHORIZATION TO DISCLOSE WORKERS' COMPENSATION RECORDS (Korean)

OC-110A (12-17)
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