Forms/Laws
  • Home /
  • New York Forms

New York Forms

Change State
Select Report Type  
 

 624 State Forms found

name number revision print or send online

REBUTTAL OF APPLICATION FOR BOARD REVIEW

 RB-89.1 (4-24)

APPLICATION FOR RECONSIDERATION / FULL BOARD REVIEW

 RB-89.2 (4-24)

REBUTTAL OF APPLICATION FOR RECONSIDERATION / FULL BOARD REVIEW

 RB-89.3 (4-24)

COVER SHEET: LIST OF ITEMIZED MEDICAL BILLS IN CONTROVERTED WORLD TRADE CENTER CASE

 WTC-16 (7-07)

DIRECT DEPOSIT AND DEBIT CARD AUTHORIZATION FORM

DD-1 (5-21)

Discharge or Discrimination Compliant

 DC-120 (2-24)

Doctor's Report of MMI/Permanent Partial Impairment

 C-4.3 (8-25)

DISABILITY BENEFITS LAW EMPLOYER IDENTIFICATION INFORMATION

 DB-125 (5-19)

EMPLOYER'S APPLICATION FOR VOLUNTARY COVERAGE FOR CLASS OF EMPLOYEES FOR WHOM DISABILITY BENEFITS ARE NOT REQUIRED BY LAW (Employee Contribution Required)

 DB-136 (09-19)

EMPLOYER'S APPLICATION FOR VOLUNTARY COVERAGE for Class of Employees for Whom Disability Benefits are Not Required by Law (No Employee Contribution)

 DB-135 (09-19)

APPLICATION TO HAVE ASSOCIATION, UNION OR TRUSTEES PLAN ACCEPTED/TERMINATED AS EMPLOYER'S PLAN

DB-802 (1-24)

EMPLOYER'S REPORT OF INJURED EMPLOYEE'S CHANGE IN EMPLOYMENT STATUS RESULTING FROM INJURY

 C-11 (6-22)

EMPLOYER'S STATEMENT FOR THE PURPOSE OF TERMINATING STATUS AS A COVERED EMPLOYER

DB-118 (10-17)

EMPLOYER'S STATEMENT OF WAGE EARNINGS (Preceding the Date of Injury/Illness)

 C-240 (6-17)

HEALTH PROVIDER'S REQUEST FOR DECISION ON UNPAID MEDICAL BILL(S) - ONLINE ONLY

 HP-1 (11/24)
Disclaimer: These forms may not be the most recent version. New York may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on this site. Please check official sources.
Loading results ...
Origami Risk
1379 N 1075 W, Suite 226,
Farmington, UT 84025
312.546.6515
info@origamirisk.com
© 2025 Origami Risk. All Rights Reserved.