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.
Q: What is Form C-3.1I?
A: Form C-3.1I is a notice that informs you of your right to select a Workers' Compensation Board authorized health care provider in New York.
Q: What does the form contain?
A: The form contains information about your rights to choose a doctors for workers' compensation
Q: Who is this form for?
A: This form is for anyone who is seeking workers' compensation benefits in New York.
Q: Is the form available in multiple languages?
A: Yes, this form is available in both English and Italian.
Q: How can I use this form?
A: You can use this form to indicate your choice of a Workers' Compensation Board authorized health care provider in New York.
Q: What is the purpose of selecting a Workers' Compensation Board authorized health care provider?
A: Selecting a authorized health care provider ensures that your medical treatment for work-related injuries will be covered by workers' compensation.
Q: What should I do if I have questions about this form?
A: If you have questions about this form, you should contact the Workers' Compensation Board in New York for assistance.
Q: Can I choose any doctor for my workers' compensation claim?
A: No, you must choose a Workers' Compensation Board authorized health care provider in order for your medical treatment to be covered.
Q: What rights do I have as an injured worker in New York?
A: As an injured worker in New York, you have the right to choose a Workers' Compensation Board authorized health care provider and receive medical treatment for your work-related injuries.
Form Details:
Download a printable version of Form C-3.1I by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.