Self-insurer's Records Update Form - New York

Self-insurer's Records Update Form - New York

Self-insurer's Records Update Form is a legal document that was released by the New York State Workers' Compensation Board - a government authority operating within New York.

FAQ

Q: What is the Self-Insurer's Records Update Form?
A: The Self-Insurer's Records Update Form is a document used in New York to update the records of self-insured employers.

Q: Who needs to use the Self-Insurer's Records Update Form?
A: Self-insured employers in New York need to use the Self-Insurer's Records Update Form.

Q: Why do self-insured employers need to update their records?
A: Self-insured employers need to update their records to ensure accurate and up-to-date information is on file with the appropriate authorities.

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Form Details:

  • Released on August 1, 2017;
  • The latest edition currently provided by the New York State Workers' Compensation Board;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Self-insurer's Records Update Form - New York

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