This version of the form is not currently in use and is provided for reference only. Download this version of Form RB-89 for the current year.
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.
Q: What is Form RB-89?
A: Form RB-89 is an application for Board Review in New York.
Q: What is the purpose of Form RB-89?
A: The purpose of Form RB-89 is to request a review of a decision made by the New York State Workers' Compensation Board.
Q: What information is required on Form RB-89?
A: Form RB-89 requires your personal information, details about the decision being appealed, and the reasons for your appeal.
Q: Who can file Form RB-89?
A: Any party to a workers' compensation claim in New York can file Form RB-89, including injured workers, employers, and insurance carriers.
Q: What is the deadline for filing Form RB-89?
A: Form RB-89 must be filed within 30 days from the date of the decision being appealed.
Q: Is there a fee for filing Form RB-89?
A: No, there is no fee for filing Form RB-89.
Q: What happens after I file Form RB-89?
A: After you file Form RB-89, the Board will review your application and schedule a hearing if necessary.
Q: Can I have legal representation for my Board Review?
A: Yes, you have the right to be represented by an attorney during the Board Review process.
Q: What should I do if I need assistance with Form RB-89?
A: If you need assistance with Form RB-89, you can contact the New York State Workers' Compensation Board or consult with an attorney specializing in workers' compensation law.
Form Details:
Download a fillable version of Form RB-89 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.