Form C-62 Claim for Compensation in a Death Case - New York

Form C-62 Claim for Compensation in a Death Case - New York

What Is Form C-62?

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-62?
A: Form C-62 is a claim for compensation in a death case in New York.

Q: Who can file Form C-62?
A: The dependents or representative of a deceased worker can file Form C-62.

Q: What is the purpose of Form C-62?
A: The purpose of Form C-62 is to seek compensation for the death of a worker.

Q: What information is required in Form C-62?
A: Form C-62 requires information about the deceased worker, the circumstances surrounding the death, and the dependents seeking compensation.

Q: Are there any filing fees for Form C-62?
A: No, there are no filing fees for Form C-62.

Q: What should I do after completing Form C-62?
A: After completing Form C-62, it should be filed with the Workers' Compensation Board and a copy should be sent to the employer or their insurance carrier.

Q: What happens after filing Form C-62?
A: After filing Form C-62, the claim will be reviewed and investigated by the Workers' Compensation Board to determine if compensation is warranted.

Q: How long does it take to receive a decision on a Form C-62 claim?
A: The timeframe for receiving a decision on a Form C-62 claim can vary, but it typically takes several months.

Q: Can I appeal a decision on a Form C-62 claim?
A: Yes, if you disagree with the decision on your Form C-62 claim, you have the right to appeal within a certain timeframe.

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Form Details:

  • Released on January 1, 2011;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Available in Arabic;
  • 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-62 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-62 Claim for Compensation in a Death Case - New York

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