Form C-62B Claim for Compensation in Death Case - 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-62B?
A: Form C-62B is a claim form for compensation in a death case in New York.

Q: Who can file Form C-62B?
A: The form can be filed by a dependent of the deceased worker, such as a spouse, child, or parent.

Q: What is the purpose of Form C-62B?
A: The purpose of the form is to seek compensation for the death of a worker who died due to a work-related injury or illness.

Q: Do I need to provide any supporting documentation with Form C-62B?
A: Yes, you will need to provide supporting documentation, such as a death certificate and medical reports, with the form.

Q: Is there a deadline for filing Form C-62B?
A: Yes, there is a time limit for filing the form. It is generally within two years of the worker's death.

Q: What happens after I file Form C-62B?
A: After you file the form, the Workers' Compensation Board will review your claim and determine whether you are eligible for compensation.

Q: Can I appeal if my claim is denied?
A: Yes, if your claim is denied, you have the right to appeal the decision and request a hearing.

Q: Is there any cost to file Form C-62B?
A: There is no fee to file Form C-62B.

Q: Can I get legal assistance in completing Form C-62B?
A: Yes, you can seek legal assistance to help you complete and file Form C-62B.