Form EOSB-210.5 Volunteer Firefighter Enhanced Cancer Disability Benefits Program Attestation / Proof of Benefits - New York

What Is Form EOSB-210.5?

This is a legal form that was released by the New York State Division of Homeland Security & Emergency Services - 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 the form EOSB-210.5 for?
A: The form EOSB-210.5 is for the Volunteer Firefighter Enhanced Cancer Disability Benefits Program Attestation/Proof of Benefits in New York.

Q: What does the form EOSB-210.5 verify?
A: The form EOSB-210.5 verifies the benefits received by volunteer firefighters under the Enhanced Cancer Disability Benefits Program in New York.

Q: Who is required to complete form EOSB-210.5?
A: Volunteer firefighters in New York who receive benefits under the Enhanced Cancer Disability Benefits Program are required to complete form EOSB-210.5.

Q: What information is needed to complete form EOSB-210.5?
A: To complete form EOSB-210.5, you will need to provide information about the benefits you have received and the periods for which you received them.

Q: Are there any deadlines for submitting form EOSB-210.5?
A: Yes, there are deadlines for submitting form EOSB-210.5. It is recommended to submit the form within 90 days of receiving benefits or as stated in the instructions.

Q: Is there a fee for submitting form EOSB-210.5?
A: No, there is no fee for submitting form EOSB-210.5.

Q: What should I do if I need assistance with form EOSB-210.5?
A: If you need assistance with form EOSB-210.5, you can contact your local fire department or the New York State Workers' Compensation Board for guidance.