Form C-62I Claim for Compensation in Death Case - New York (Italian)

Form C-62I Claim for Compensation in Death Case - New York (Italian)

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 Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-62I?
A: Form C-62I is a claim for compensation in a death case in New York.

Q: Who can file Form C-62I?
A: The family members or dependents of a deceased worker can file Form C-62I.

Q: What is the purpose of Form C-62I?
A: Form C-62I is used to claim compensation for the death of a worker who was killed on the job or as a result of work-related activities.

Q: What information is required to complete Form C-62I?
A: You will need to provide information about the deceased worker, the circumstances of their death, and your relationship to the worker.

Q: Is there a deadline for filing Form C-62I?
A: Yes, there is a deadline for filing Form C-62I. Generally, you must file the claim within two years from the date of the worker's death.

Q: What happens after I file Form C-62I?
A: After you file Form C-62I, the workers' compensation board will review your claim and may schedule a hearing to gather more information.

Q: What benefits can I receive if my Form C-62I claim is approved?
A: If your Form C-62I claim is approved, you may be eligible to receive death benefits, including compensation for funeral expenses and weekly payments to dependents.

Q: Can I appeal if my Form C-62I claim is denied?
A: Yes, if your Form C-62I claim is denied, you have the right to appeal the decision. It is recommended to seek legal assistance for the appeal process.

Q: Are there any fees associated with filing Form C-62I?
A: No, there are no fees associated with filing Form C-62I. It is a free form to claim compensation for a death case in New York.

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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;

Download a printable version of Form C-62I by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-62I Claim for Compensation in Death Case - New York (Italian)

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