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Form DB-450.1 Claimant's Statement Regarding No Fault or Personal Injury - New York
What Is Form DB-450.1?
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 DB-450.1?
A: Form DB-450.1 is a document used in New York to provide a statement regarding a claimant's no-fault or personal injury situation.
Q: Who needs to fill out Form DB-450.1?
A: The claimant, who is seeking benefits for a no-fault or personal injury claim in New York, needs to fill out Form DB-450.1.
Q: When should Form DB-450.1 be filled out?
A: Form DB-450.1 should be filled out as soon as possible after the incident that resulted in the no-fault or personal injury claim.
Q: What information is required in Form DB-450.1?
A: Form DB-450.1 requires the claimant to provide details about the incident, injuries sustained, medical treatment received, and other relevant information.
Q: Are there any filing fees associated with Form DB-450.1?
A: No, there are no filing fees associated with submitting Form DB-450.1.
Form Details:
- Released on September 1, 2017;
- The latest edition provided by the New York State Workers' Compensation Board;
- Easy to use and ready to print;
- Available in French;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DB-450.1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
