Form C-121 Claim for Compensation and Notice of Commencement of Third Party Action - New York

What Is Form C-121?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-121?
A: Form C-121 is a document used in New York for making a claim for compensation and notifying the commencement of a third party action.

Q: Who can use Form C-121?
A: The form is used by individuals seeking compensation for a work-related injury in New York.

Q: What is the purpose of Form C-121?
A: The purpose of Form C-121 is to provide a means for injured workers to claim compensation and inform the relevant parties about the commencement of a third party action.

Q: When should Form C-121 be filed?
A: Form C-121 should be filed as soon as possible after a work-related injury occurs and the injured worker intends to seek compensation.

Q: What information is required in Form C-121?
A: Form C-121 requires information about the injured worker, the employer, the injury, and details about the third party action if applicable.

Q: Are there any deadlines for filing Form C-121?
A: There are deadlines for filing Form C-121, and it is recommended to consult the Workers' Compensation Board or an attorney for specific details.

Q: What happens after filing Form C-121?
A: After filing Form C-121, the Workers' Compensation Board will review the claim and a process will be initiated to determine the compensation eligibility.

Q: Can I file Form C-121 without legal representation?
A: Yes, you can file Form C-121 without legal representation, but it is recommended to consult an attorney familiar with workers' compensation laws.

Q: Is there a fee for filing Form C-121?
A: There is no fee for filing Form C-121 with the New York State Workers' Compensation Board.