PDF
Word
Form DB-450.1Y Claimant's Statement Regarding No Fault or Personal Injury - New York (Yiddish)
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 Yiddish. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DB-450.1Y?
A: Form DB-450.1Y is a claimant's statement used in New York to express that there was no fault or personal injury in a case.
Q: Who needs to fill out Form DB-450.1Y?
A: Claimants in New York who want to declare that there was no fault or personal injury in a case need to fill out Form DB-450.1Y.
Q: What does Form DB-450.1Y require?
A: Form DB-450.1Y requires claimants to provide information regarding the incident and any injuries, as well as a statement declaring no fault or personal injury.
Q: Is Form DB-450.1Y available in Yiddish?
A: Yes, Form DB-450.1Y is available in Yiddish for those who prefer to use that language.
Form Details:
- Released on September 1, 2017;
- 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;
Download a fillable version of Form DB-450.1Y by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
