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 624 State Forms found

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STATEMENT OF REGISTRATION

 IME-7 (1-24)

New York State Disability Benefits STATEMENT OF RIGHTS

 DB-271S (12/23)

STATEMENT OF RIGHTS

 C-430S (5/23)

STATEMENT OF UNRESOLVED ISSUES - SPECIAL PART FOR EXPEDITED HEARINGS

 C-300.34 (10-97)

STIPULATION

 C-300.5 (3-25)

VOLUNTEER AMBULANCE WORKER'S CLAIM FOR BENEFITS

 VAW-3 (6-22)

VOLUNTEER FIREFIGHTER'S CLAIM FOR BENEFITS

 VF-3 (6-22)

VOLUNTEER'S NOTIFICATION OF EXECUTIVE OFFICER OF FIRE/AMBULANCE COMPANY OF SIGNIFICANT RISK OF TRANSMISSION OF HIV

 VF/VAW-11C (6-22)

World Trade Center Volunteer's Claim for Compensation

 WTCVol-3 (6-22)

ATTENDING DOCTOR'S REQUEST FOR OPTIONAL PRIOR APPROVAL AND INSURER'S/EMPLOYER'S RESPONSE - ONLINE ONLY

 MG-1.0 (4-18)

ATTENDING DOCTOR'S REQUEST FOR APPROVAL OF VARIANCE AND INSURER'S RESPONSE - ONLINE ONLY

 MG-2.0 (4-18)

PHYSICIAN'S APPLICATION FOR DESIGNATION AS AN IMPARTIAL SPECIALIST

 IS-1 (2-13)

DISCONTINUED BY THE STATE - PAQUETE DE INFORMACIÓN DEL RECLAMANTE

 EMP-Claimant-Info-pkt-v2 - DEACTIVATED (8-16)

ATTORNEY/REPRESENTATIVE'S CERTIFICATION OF FORM C-3 OR NOTICE OF CONTROVERSY

 OC-400.5 (6-13)

QUICK GUIDE FOR INJURED WORKERS

 WCB-Claimant-QuickGuide-v1 (1-21)
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.
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