Form RB-89 Application for Board Review - New York

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Form RB-89 Application for Board Review - New York

What Is Form RB-89?

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 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.

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Form Details:

  • Released on November 1, 2018;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form RB-89 Application for Board Review - New York

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