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.
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.
Form Details:
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.