This version of the form is not currently in use and is provided for reference only. Download this version of Form RB-89 for the current year.
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 Italian. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form RB-89?
A: Form RB-89 is the Application for Board Review in the state of New York.
Q: Who can use Form RB-89?
A: Form RB-89 is used by individuals seeking a board review in the state of New York.
Q: What is the purpose of Form RB-89?
A: The purpose of Form RB-89 is to request a board review for a determination made by a New York state agency.
Q: Is there a fee for submitting Form RB-89?
A: Yes, there is a non-refundable fee associated with Form RB-89. The fee amount can be found on the form itself.
Form Details:
Download a fillable version of Form RB-89 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.