Form C-258.1B Claimant's Record of Independent Job Search Efforts - New York (Bengali)

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

Form Details:

• Released on July 1, 2017;
• 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 fillable version of Form C-258.1B by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.