This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.
The document is provided in Bengali. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form C-258B?
A: Form C-258B is the Claimant's Record of Job Search Efforts/Contacts.
Q: What is the purpose of Form C-258B?
A: The purpose of Form C-258B is to keep a record of job search efforts and contacts made by the claimant.
Q: Is Form C-258B specific to New York?
A: Yes, Form C-258B is specific to the state of New York.
Q: What language is Form C-258B available in?
A: Form C-258B is available in Bengali for residents of New York who prefer to complete it in that language.
Form Details:
Download a fillable version of Form C-258B by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.