Form A-9 Notice That You May Be Responsible for Medical Costs in the Event of Failure to Prosecute, or if Compensation Claim Is Disallowed, or if Agreement Pursuant to Wcl 32 Is Approved - New York (French)

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

FAQ

Q: What is Form A-9?
A: Form A-9 is a notice in New York state that informs individuals that they may be responsible for medical costs under certain circumstances.

Q: When is Form A-9 used?
A: Form A-9 is used when there is a potential for medical costs to be the responsibility of an individual in case of failure to prosecute, disallowed compensation claim, or approval of an agreement pursuant to WCL 32 in New York.

Q: What does Form A-9 notify about?
A: Form A-9 notifies individuals that they may be responsible for medical costs if certain conditions occur, such as failure to prosecute, disallowed compensation claim, or approval of an agreement pursuant to WCL 32.

Q: Who needs to be aware of Form A-9?
A: Individuals in New York who may be involved in a workers' compensation case need to be aware of Form A-9 and its implications regarding potential responsibility for medical costs.

Q: What happens if someone receives Form A-9?
A: If someone receives Form A-9, they should carefully read and understand its contents, as it notifies them of the potential responsibility for medical costs in certain situations related to a workers' compensation case in New York.