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.
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.
Form Details:
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.