Fill and Sign New York Legal Forms

This Form is used for reporting a loss of wage earning capacity and vocational data in New York for those who speak Haitian Creole.

This form is used for reporting and collecting data related to the loss of wage earning capacity in New York. It is specifically designed for Korean-speaking individuals.

This form is used to notify a political subdivision in New York about an injury or death of a volunteer firefighter.

This form is used for biannual recertification of entitlement to benefits in the state of New York. It is used to verify and update information regarding eligibility for benefits.

This document is used for electronically attaching additional information or files to a submission or application in the state of New York.

This form is used to notify the chair of a health provider's and insurer's decision to withdraw their request for arbitration in New York.

This form is used for reporting an independent medical examination in response to a request for information in New York.

This form is used to notify individuals in New York that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement pursuant to Wcl 32 is approved. The form is available in both English and Spanish.

This document notifies you that you may be responsible for medical costs if your compensation claim is denied or if you fail to prosecute it. It is available in English and Chinese.

This form is used for notifying individuals that they may be responsible for medical costs if their compensation claim is not pursued, or if it is disallowed, or if an agreement under Wcl 32 is approved. It is available in English and Haitian Creole.

This form is used to notify individuals in New York that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement according to WCL 32 is approved. It contains both English and Italian translations.

This form is used to notify individuals that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement pursuant to WCL 32 is approved. The form is available in both English and Polish and is specific to the state of New York.

This Form is used for notifying individuals in New York that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement pursuant to WCL 32 is approved. Available in English and Russian.

This form is used for modifying a previous report in the Alternative Dispute Resolution Program in New York.

This document is used for finalizing a dispute resolution or settlement claim through the Alternative Dispute Resolution Program in New York.

This form is used for reporting the findings of an examination or record review conducted by an impartial specialist in the state of New York.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in English and Chinese.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in English and Haitian Creole languages.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in both English and Italian languages.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in both English and Korean.

This form is used for informing workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in both English and Polish languages.

This Form is used for notifying workers in New York of their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in both English and Russian languages.

This document is a form that allows for the limited release of health information in accordance with HIPAA regulations. It is specifically for use in New York and is available in Chinese.

This form is used for authorizing the limited release of health information according to HIPAA regulations in New York, translated into Haitian Creole.

This form is used as a continuation to the billing section of various other forms in New York for carriers/employers.

This Form is used for Tier 1 members in New York to make retirement option elections.

This form is used for Tier 2 members in New York to elect their retirement options.

This form is used for transferring membership in accordance with Chapter 390 (Laws of 2009) in New York.

This form is used for authorizing electronic debits in the state of New York. It allows individuals to give permission for money to be directly withdrawn from their bank account for a specific purpose.

This Form is used for employers in New York to certify certain information related to their employees.