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Form A-9K Notice That You May Be Responsible for Medical Costs in the Event of Failure to Prosecute, or if Compensation Claim Is Disallowed, or if Agreement Pursuant to Wcl 32 Is Approved - New York (English / Korean)
What Is Form A-9K?
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 A-9K?
A: Form A-9K is a notice that informs you that you may be responsible for medical costs.
Q: When am I responsible for medical costs?
A: You may be responsible for medical costs if there is a failure to prosecute, if your compensation claim is disallowed, or if an agreement pursuant to WCL 32 is approved.
Q: Is Form A-9K available in multiple languages?
A: Yes, Form A-9K is available in both English and Korean.
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;
- Fill out the form in our online filing application.
Download a printable version of Form A-9K by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form A-9K Notice That You May Be Responsible for Medical Costs in the Event of Failure to Prosecute, or if Compensation Claim Is Disallowed, or if Agreement Pursuant to Wcl 32 Is Approved - New York (English / Korean)
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