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

Form RFA-1W Request for Assistance by Injured Worker - 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 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 can use Form RFA-1W.

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

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.

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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 (Haitian Creole)

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