PDF
Word
Form IS-1R Physician's Application for Renewal of Designation as an Impartial Specialist - New York
What Is Form IS-1R?
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 IS-1R?
A: Form IS-1R is the Physician's Application for Renewal of Designation as an Impartial Specialist.
Q: Who is this form for?
A: This form is for physicians who are seeking to renew their designation as an Impartial Specialist in the state of New York.
Q: What is an Impartial Specialist?
A: An Impartial Specialist is a physician who is designated to conduct medical examinations and make determinations on workers' compensation claims in New York.
Q: What information do I need to provide on this form?
A: You will need to provide your personal information, contact details, professional qualifications, and a list of cases you have handled as an Impartial Specialist.
Form Details:
- Released on February 1, 2013;
- 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 IS-1R by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form IS-1R Physician's Application for Renewal of Designation as an Impartial Specialist - New York
1
2
