Form C-4.1 Continuation to Carrier / Employer Billing Section of Form C-4, C-4.2, C-4.3, C-5, PS-4 or Ot / Pt-4 - New York

Form C-4.1 Continuation to Carrier / Employer Billing Section of Form C-4, C-4.2, C-4.3, C-5, PS-4 or Ot / Pt-4 - New York

What Is Form C-4.1?

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-4.1?
A: Form C-4.1 is a continuation form used for the Carrier/Employer Billing Section of Form C-4, C-4.2, C-4.3, C-5, PS-4, or Ot/Pt-4 in New York.

Q: When is Form C-4.1 used?
A: Form C-4.1 is used when additional information is needed on the Carrier/Employer Billing Section of the aforementioned forms.

Q: What is the purpose of Form C-4.1?
A: The purpose of Form C-4.1 is to provide supplemental details for billing purposes related to workers' compensation in New York.

Q: Is Form C-4.1 mandatory?
A: Form C-4.1 is not a standalone form and is only used as a continuation to other specified forms. Its usage depends on the circumstances and requirements of the workers' compensation claim.

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Form Details:

  • Released on September 1, 2008;
  • 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 fillable version of Form C-4.1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-4.1 Continuation to Carrier / Employer Billing Section of Form C-4, C-4.2, C-4.3, C-5, PS-4 or Ot / Pt-4 - New York

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  • Form C-4.1 Continuation to Carrier / Employer Billing Section of Form C-4, C-4.2, C-4.3, C-5, PS-4 or Ot / Pt-4 - New York, Page 1
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