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 Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form DB-450I used for?
A: Form DB-450I is used for filing a notice and proof of claim for disability benefits in New York.
Q: Who can use form DB-450I?
A: Form DB-450I can be used by individuals who are seeking disability benefits in New York.
Q: Do I need to provide any supporting documents with form DB-450I?
A: Yes, you will need to provide supporting documents such as medical evidence to support your disability claim.
Q: Is there a deadline for submitting form DB-450I?
A: Yes, you must submit form DB-450I within 30 days after the start of your disability.
Q: What happens after I submit form DB-450I?
A: After you submit form DB-450I, it will be reviewed by the Workers' Compensation Board and a determination will be made regarding your disability benefits.
Form Details:
Download a fillable version of Form DB-450I by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.