Form C-27 Medical Proof of Change in Condition in Support of Application for Reopening of Claim for Workers' Compensation, Volunteer Fire Fighters' or Volunteer Ambulance Workers' Benefits - New York

Form C-27 Medical Proof of Change in Condition in Support of Application for Reopening of Claim for Workers' Compensation, Volunteer Fire Fighters' or Volunteer Ambulance Workers' Benefits - New York

What Is Form C-27?

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 C-27?
A: Form C-27 is a document used in New York to support an application for reopening a claim for workers' compensation, volunteer fire fighters' or volunteer ambulance workers' benefits.

Q: Who needs to complete Form C-27?
A: Form C-27 needs to be completed by individuals who are applying to reopen a claim for workers' compensation, volunteer fire fighters' or volunteer ambulance workers' benefits in New York.

Q: What is the purpose of Form C-27?
A: The purpose of Form C-27 is to provide medical proof of a change in condition to support an application for reopening a claim for workers' compensation, volunteer fire fighters' or volunteer ambulance workers' benefits.

Q: What information is required on Form C-27?
A: Form C-27 requires the individual's personal information, details about their original claim, and medical reports or records demonstrating the change in condition.

Q: Are there any fees associated with submitting Form C-27?
A: No, there are no fees associated with submitting Form C-27.

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Form Details:

  • Released on April 1, 2019;
  • 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 C-27 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-27 Medical Proof of Change in Condition in Support of Application for Reopening of Claim for Workers' Compensation, Volunteer Fire Fighters' or Volunteer Ambulance Workers' Benefits - New York

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