Form C-257 Claimant's Record of Medical and Travel Expenses and Request for Reimbursement - New York

What Is Form C-257?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-257?
A: Form C-257 is the Claimant's Record of Medical and Travel Expenses and Request for Reimbursement.

Q: Who can use Form C-257?
A: Form C-257 can be used by claimants in New York who want to claim reimbursement for their medical and travel expenses.

Q: What expenses can be claimed using Form C-257?
A: Form C-257 can be used to claim reimbursement for medical and travel expenses related to a work-related injury or illness.

Q: How do I fill out Form C-257?
A: To fill out Form C-257, you will need to provide information about your personal details, the medical and travel expenses you are claiming, and any necessary supporting documentation.

Q: Is there a deadline for submitting Form C-257?
A: Yes, there is a deadline for submitting Form C-257. It is important to submit the form within the designated timeframe to ensure timely processing of your reimbursement request.

Q: How long does it take to receive reimbursement after submitting Form C-257?
A: The processing time for reimbursement requests may vary. It is best to contact the New York Workers' Compensation Board for more information on the estimated processing time.

Q: Are there any fees associated with submitting Form C-257?
A: No, there are no fees associated with submitting Form C-257. However, you may need to provide supporting documents or evidence for your expenses.