Form C-257 Claimant's Record of Medical and Travel Expenses and Request for Reimbursement - New York (Haitian Creole)

Form C-257 Claimant's Record of Medical and Travel Expenses and Request for Reimbursement - New York (Haitian Creole)

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

FAQ

Q: What is Form C-257?
A: Form C-257 is the Claimant's Record of Medical and Travel Expenses and Request for Reimbursement.

Q: Who can use Form C-257?
A: Form C-257 can be used by individuals in New York.

Q: What expenses can be claimed on Form C-257?
A: Form C-257 allows you to claim medical and travel expenses.

Q: How can I request reimbursement using Form C-257?
A: You can request reimbursement by filling out Form C-257 and submitting it to the appropriate authorities.

Q: Is Form C-257 available in Haitian Creole?
A: Yes, Form C-257 is available in Haitian Creole for the convenience of Haitian Creole speakers in New York.

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Form Details:

  • Released on November 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;

Download a fillable version of Form C-257 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-257 Claimant's Record of Medical and Travel Expenses and Request for Reimbursement - New York (Haitian Creole)

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