Form C-62H Claim for Compensation in Death Case - New York (Haitian Creole)

Form C-62H Claim for Compensation in Death Case - New York (Haitian Creole)

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.

The document is provided in Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-62H?
A: Form C-62H is the Claim for Compensation in Death Case form for New York.

Q: Who can file Form C-62H?
A: The form can be filed by the dependents of a deceased worker who suffered a work-related injury or illness in New York.

Q: What is the purpose of Form C-62H?
A: The purpose of Form C-62H is to seek compensation for the death of a worker resulting from a work-related injury or illness.

Q: Is Form C-62H available in Haitian Creole?
A: Yes, Form C-62H is available in Haitian Creole for individuals who prefer to complete the form in that language.

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Form Details:

  • Released on October 1, 2012;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form C-62H by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-62H Claim for Compensation in Death Case - New York (Haitian Creole)

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