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Form C-3.1B Notice of Right to Select a Workers' Compensation Board Authorized Health Care Provider - 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.
FAQ
Q: What is Form C-3.1B?
A: Form C-3.1B is a notice that informs workers in New York of their right to select a workers' compensation board authorized health care provider.
Q: Who is required to receive Form C-3.1B?
A: Workers in New York who have suffered a work-related injury or illness are required to receive Form C-3.1B.
Q: What is the purpose of Form C-3.1B?
A: The purpose of Form C-3.1B is to notify workers of their right to choose a health care provider for their workers' compensation claim.
Q: Does Form C-3.1B only apply to Bengali speakers?
A: No, Form C-3.1B is available in Bengali, but it applies to all workers in New York regardless of language spoken.
Q: What should I do after receiving Form C-3.1B?
A: After receiving Form C-3.1B, you should review it and follow the instructions to select a workers' compensation board authorized health care provider if you are injured at work.
Q: What happens if I do not choose a workers' compensation board authorized health care provider?
A: If you do not choose a workers' compensation board authorized health care provider, the insurance carrier may choose one for you.
Q: Can I change my workers' compensation board authorized health care provider?
A: Yes, you have the right to change your workers' compensation board authorized health care provider, but certain conditions and limitations may apply.
Q: Who should I contact if I have questions about Form C-3.1B or workers' compensation in New York?
A: You should contact the Workers' Compensation Board or your employer's workers' compensation representative if you have any questions about Form C-3.1B or workers' compensation in New York.
Form Details:
- Released on March 1, 2004;
- 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-3.1B by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
