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Form IME-4.3B Attachment for Report of Independent Medical Examination Non-scheduled Permanent Partial Disability - New York
What Is Form IME-4.3B?
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 IME-4.3B?
A: Form IME-4.3B is an attachment for the Report of Independent Medical Examination.
Q: What is the purpose of Form IME-4.3B?
A: Form IME-4.3B is used for reporting non-scheduled permanent partial disability in New York.
Q: Who needs to fill out Form IME-4.3B?
A: Form IME-4.3B needs to be filled out by a medical professional conducting an independent medical examination.
Q: What is non-scheduled permanent partial disability?
A: Non-scheduled permanent partial disability refers to a permanent injury or impairment that does not have a specific schedule set by law.
Form Details:
- Released on May 1, 2018;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form IME-4.3B by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form IME-4.3B Attachment for Report of Independent Medical Examination Non-scheduled Permanent Partial Disability - New York
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