Workers Compensation Board

State of New York

Official Website: https://www.wcb.ny.gov/

Forms & Documents

Browse all Workers Compensation Board government forms

61 - 80 of 503 forms

Form Title Topics
Application for Board Review
Application for Reconsideration / Full Board Review
Application for Reconsideration / Full Board Review
Attorney/Licensed Representative Request to Withdraw from Representation
Attorney/Representative's Certification of Form C-3 or Notice of Controversy
AUTORISATION DU DEMANDEUR DE DIVULGUER LE DOSSIER D'INDEMNISATION DES ACCIDENTS DU TRAVAIL
AUTORISATION HIPAA RELATIVE AU WTC
AUTORISATION HIPAA RELATIVE AU WTC
AUTORISATION VCF RELATIVE AU WTC
AUTORIZACIÓN DE LA HIPAA DEL WTC
AUTORIZACIÓN DE LA HIPAA DEL WTC
AUTORIZACIÓN DEL RECLAMANTE PARA DIVULGAR LOS EXPEDIENTES DE LA JUNTA DE COMPENSACIÓN DE LOS TRABAJADORES
AUTORIZACIÓN DE VCF DEL WTC
Autorización para la divulgación limitada de información de salud
AUTORIZZAZIONE HIPAA DEL WTC
AUTORIZZAZIONE HIPAA DEL WTC
AUTORIZZAZIONE WTC VCF
AVI KI FÈ KONNEN OU KAPAB GEN RESPONSABILITE POU W PEYE FRÈ MEDIKAL YO NAN KA KOTE PA TA GEN PWOSEDI JIDISYÈ KI FÈT, OSWA SI DEMANN REPARASYON AN PA OTORIZE, OSWA SI YO APWOUVE AKÒ AN NAN KONFÒMITE AK WCL §32.
Avi ki Montre Demandè a Dwe Fè Aranjman pou Tès ak Egzamen Dyagnostik atravè yon Pwofesyonèl Swen Sante ki Nan Rezo a
Avis établissant que le demandeur doit organiser des tests et des examens diagnostiques par l'intermédiaire d'un prestataire du réseau

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