Form RFA-1W Request for Assistance by Injured Worker - New York (Polish)

Form RFA-1W Request for Assistance by Injured Worker - New York (Polish)

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 Polish. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form RFA-1W?
A: Form RFA-1W is a request for assistance by an injured worker in New York.

Q: Who can use Form RFA-1W?
A: Injured workers in New York who need assistance can use Form RFA-1W.

Q: What is the purpose of Form RFA-1W?
A: The purpose of Form RFA-1W is to request assistance for an injured worker in New York.

Q: Is Form RFA-1W available in Polish?
A: Yes, Form RFA-1W is available in Polish.

Q: Do I need to fill out Form RFA-1W if I am injured at work in New York?
A: Yes, you should fill out Form RFA-1W if you are injured at work in New York and need assistance.

Q: What information is required on Form RFA-1W?
A: Form RFA-1W requires you to provide information about your injury and the assistance you are seeking.

Q: What should I do after submitting Form RFA-1W?
A: After submitting Form RFA-1W, you should follow any instructions provided by the workers' compensation office and keep a copy of the form for your records.

Q: Is there a deadline for submitting Form RFA-1W?
A: The specific deadline for submitting Form RFA-1W may vary. You should check the instructions or consult with the workers' compensation office for the deadline applicable to your situation.

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Form Details:

  • Released on May 1, 2022;
  • 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 RFA-1W by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form RFA-1W Request for Assistance by Injured Worker - New York (Polish)

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