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

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 Arabic. 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 is eligible to use Form C-62?
A: The claimant must be a dependent or representative of the deceased employee.

Q: What is the purpose of Form C-62?
A: The purpose of Form C-62 is to seek compensation for the death of an employee due to a work-related injury or illness.

Q: What information is required on Form C-62?
A: Form C-62 requires information about the deceased employee, the nature of the work-related injury or illness, and the dependent or representative filing the claim.

Q: Are there any deadlines for filing Form C-62?
A: Yes, Form C-62 should be filed within two years from the date of the employee's death or within two years of when the dependent or representative knew or should have known of the employee's death.

Q: What happens after I submit Form C-62?
A: The Workers' Compensation Board will review and evaluate the claim, and if approved, compensation may be provided to the eligible dependents or representatives.

Q: Can I appeal a denial of my claim on Form C-62?
A: Yes, if your claim is denied, you have the right to appeal the decision to the Workers' Compensation Board.