Form C-32AF Carrier's / Self-insured Employer's Affirmation - New York

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Form C-32AF Carrier's / Self-insured Employer's Affirmation - New York

What Is Form C-32AF?

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-32AF?
A: Form C-32AF is an Affirmation form required by the New York State Workers' Compensation Board for carriers and self-insured employers.

Q: Who needs to fill out Form C-32AF?
A: Carriers and self-insured employers in New York State need to fill out Form C-32AF.

Q: What is the purpose of Form C-32AF?
A: The purpose of Form C-32AF is to affirm that the carrier or self-insured employer will promptly reimburse the Workers' Compensation Board for any unpaid compensation due to injured workers.

Q: Is there a deadline for submitting Form C-32AF?
A: Yes, Form C-32AF should be submitted within 30 days from the date of notice or knowledge of a claim.

Q: What happens if I don't submit Form C-32AF?
A: Failure to submit Form C-32AF may result in penalties and fines imposed by the Workers' Compensation Board.

Q: Do I need to provide any supporting documents with Form C-32AF?
A: No, you do not need to provide any supporting documents with Form C-32AF. However, you should keep the records of any payments made.

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Form Details:

  • Released on December 1, 2021;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of Form C-32AF by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-32AF Carrier's / Self-insured Employer's Affirmation - New York

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