10831
This document is for ordering publications from New York's catalog.
This form is used for applying for health insurance in New York.
This form is used for Supplement A Access NY program in New York. It provides additional information for individuals applying for benefits.
This document is used to request the transfer of MPRE scores to New York.
This document is used for certifying that a dog or cat is unfit for purchase in New York due to health or behavioral reasons.
This form is used for resolving unresolved issues during expedited hearings in New York.
This document is used for recording agreed-upon findings and awards in a proposed conciliation decision for represented claimants in the state of New York.
This form is used for carriers or self-insured employers in New York to object to a request made by an attending doctor for medical authorization determination.
This form is used for attorneys or representatives to certify Form C-3 or Notice of Controversy in New York.
This Form is used for carriers in New York to report on rehabilitation efforts.
This document certifies the materials used for heavy post blocked-out corrugated beam guide railing and median barriers in New York.
This form is used for certifying the materials used in constructing box beam median barriers in New York.
This form is used for certifying the materials used in corrugated beam guide railing and mall barriers in the state of New York.
This document certifies the materials used for cable guide railings in New York.
This form is used for certifying Portland cement concrete materials in New York.
This Form is used for generating a report on the micro texture of a specific material or surface. It is commonly used in research and engineering to analyze the surface characteristics and properties of materials.
This document is for a new product evaluation application in New York. It is used to assess the potential of a new product before it is launched in the market.
This form is used for requesting a Certificate of Analysis in the state of New York. It is a document that provides official verification of the quality and composition of a specific product or substance.
This form is used for requesting a heater scarification in New York. It allows individuals to apply for the removal of harmful heating equipment.
This form is used for conducting aggregate tests at a Portland cement concrete plant in New York. It helps ensure the quality of the concrete being produced.
This Form is used for Attending Doctors in New York to request a determination for medical authorization.
This Form is used for filing a claim for compensation in a death case in New York for Chinese speakers.
This Form is used for filing a claim for compensation in a death case in New York, specifically for individuals who speak Haitian Creole.
This Form is used for filing a claim for compensation in a death case in New York. The form is available in Korean.
This form is used for the impartial specialist to report and review medical records in New York.
This form is used for notifying the election of a municipal corporation or other political subdivision in New York to bring executive officers under the coverage of Workers' Compensation Law (WCL).
This Form is used for notifying the New York State Workers' Compensation Board of the election of a partnership, limited liability partnership, limited liability company, or sole proprietorship to bring partners, members, or self-employed persons under the coverage of the New York State Workers' Compensation Law.
This form is used for revoking the election of a municipality or political subdivision in New York to bring executive officers under Workers' Compensation Law coverage.
This document is used for notifying the election of a not-for-profit corporation or association to exclude an unsalaried executive officer from workers' compensation coverage according to Section 54, Subdivision 6 of the Workers' Compensation Law in New York.
This form is used for revoking the election of a not-for-profit corporation or unincorporated association in New York to exclude an unsalaried executive officer from coverage.
This form is used for employers in New York who want to elect to provide workers' compensation benefits to participants in a sheltered workshop.
This form is used for revoking the election to exclude the sole shareholder or two executive officers from compensation coverage in New York.
This form is used for applying to take the License Representative Exam in New York for the first time.
This document is used to notify the responsible political subdivision of an injury or death of a volunteer ambulance worker in New York.
This Form is used for reporting loss of wage earning capacity and vocational data in New York.
This type of document, VDF-1 Loss of Wage Earning Capacity Vocational Data Form, is used in New York to gather vocational data related to loss of wage earning capacity. The form is available in Chinese language.