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.
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.
Form Details:
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.