New York State Workers' Compensation Board Forms

This Form is used for filing a notice and providing proof of claim for disability benefits in New York for individuals who speak Polish.

This form is used for filing a notice and providing proof of claim for disability benefits in New York. It is available in Chinese for the convenience of Chinese-speaking residents.

This form is used for Chinese employees in New York to file a claim for various employment-related matters.

This document is used for employees in New York to file a claim related to their employment. It specifically caters to employees who are Italian.

This form is used for recording job search efforts and contacts for claimants in New York who speak Italian.

This form is used for filing a notice and proof of claim for disability benefits in New York. It is specifically for individuals who speak Italian.

This document is a Statement of Rights form in Haitian Creole language for individuals in New York. It contains important information regarding rights and is useful for those who speak Haitian Creole.

This form is used for notifying and providing proof of a claim for disability benefits in New York. It is available in Haitian Creole.

This form is used for employees in New York who need to file a claim. The form is available in Korean language.

This form is used for claiming and recording job search efforts and contacts in New York. It is specifically designed for Polish speakers.

This document is a complaint form used in New York for filing complaints related to violations of the Americans with Disabilities Act (ADA). It is used by individuals who believe they have been discriminated against on the basis of disability.

This Form is used for settling workers' compensation claims in New York, specifically for indemnity only settlements under Section 32 of the New York Workers' Compensation Law (WCL).

This type of document is used for filing a claim for compensation in a death case in the state of New York.

This form is used for a settlement agreement in New York specifically for indemnity-only settlements related to Section 32 Workers' Compensation Law. The form is provided in Russian language.

This form is used for waiving the Section 32 Workers' Compensation Law in New York. It is available in Chinese language.

This Form is used for obtaining a Waiver Agreement under Section 32 of the New York Workers' Compensation Law in Bengali language. It is a document that allows parties to settle a workers' compensation claim.

This Form is used for Waiver Agreement related to Section 32 of the Workers' Compensation Law (WCL) in New York State. This specific form is in Yiddish language.

This form is used for filing an Affidavit for Death Benefits in New York when the language of the document is Yiddish.

This document is a settlement agreement form for claimants in New York who speak Yiddish. It releases the claimant from further legal claims.

This document is used for submitting language access comments in Yiddish to the New York government.

This document is used for filing a claim for compensation in a death case in New York with Yiddish translation.

This document is used for registering participation in World Trade Center rescue, recovery, and clean-up operations in New York.

This form is used for filing a conciliation agreement for compensation only in the case of an indemnity claim in New York.

This form is used for the waiver agreement under Section 32 of the Workers' Compensation Law (WCL) in New York. It is specifically intended for Italian speakers.

This Form is used for obtaining a waiver agreement for Section 32 WCL in New York specifically in Haitian Creole language. It is used to communicate and document the agreement in a language that is understood by Haitian Creole speakers.

This Form is used for a settlement agreement regarding workers' compensation indemnity payments in New York. It is available in Haitian Creole.

This document is a Settlement Agreement form used in workers' compensation cases in New York for indemnity-only settlements. It is specifically designed for Korean speakers.