New York State Workers' Compensation Board Forms

This Form is used for rebutting an application for reconsideration or full board review in New York, specifically for cases involving Italian language.

This form is used to notify individuals in New York that they may be responsible for medical costs if their compensation claim is disallowed or if certain agreements are approved under WCL 32.

This form is used in New York to file a compensation claim and notify the initiation of legal action against third parties.

This Form is used for filing a claim for compensation and giving notice of a third party action in the state of New York. It is available in Haitian Creole language.

This document is used for filing a claim for compensation and notifying the commencement of a third-party action in New York. It is available in Bengali language.

This type of document is used for registering medical and travel expenses of the claimant in New York and requesting reimbursement.

This document is used for filing a claim for medical and travel expenses and requesting reimbursement in New York. It is available in Haitian Creole.

This form is used for filing a claim for compensation and providing notice of a third-party action in New York. It is available in Arabic.

This form is used for filing a discharge or discrimination complaint in New York, specifically for individuals who speak Yiddish.

This Form is used for authorizing direct deposit of funds. It is an example form for New York in Spanish language.

This Form is used for authorizing direct deposit of funds. It is a sample form specific to New York and is available in Chinese.

This form is used for authorizing direct deposit and is available in Haitian Creole. It is specific to New York.

This document is a sample of the Direct Deposit Authorization Form, specifically for the state of New York and written in Korean. It is used by individuals to authorize the direct deposit of their funds into a designated bank account.

This Form is used for authorizing direct deposit of funds. It is a sample form specific to the state of New York and includes an Italian translation.

This form is used for authorizing direct deposit of funds into a bank account. It is a sample form available in Bengali language for residents of New York.

This Form is used for biannual recertification of entitlement to benefits in New York for individuals who speak Haitian Creole.

This type of document is used for the biannual recertification of entitlement to benefits in New York for individuals who are of Italian descent.

This document is used for biannual recertification to entitlement to benefits in New York for residents who speak Russian.

This form is used for biannual recertification of entitlement to benefits in New York. It is available in Korean for the convenience of Korean-speaking individuals.

This form is used for biannual recertification of entitlement to benefits in New York for individuals who speak Bengali.