235709
This form is used for obtaining confidential information from school records for children's services in New York.
This Form is used for the National Electronic Interstate Compact Enterprise (NEICE) in New York to establish a confidentiality non-disclosure agreement.
This form is used for child care providers in New York to attest their costs for the Child Care Assistance Program (CCAP).
This document is used for providers of child care in New York to attest their cost information. (Spanish)
This Form is used to notify individuals in New York (Spanish) that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement under WCL 32 is approved.
This form is used in New York to notify individuals that they may be responsible for medical costs if their compensation claim is disallowed or if they fail to prosecute. It also applies if an agreement pursuant to WCL 32 is approved.
This form is used for the limited release of health information in compliance with HIPAA regulations in New York. It allows individuals to authorize the disclosure of specific medical records to a designated party.
This form is used for doctors in New York to report on the patient's Maximum Medical Improvement (MMI) and Permanent Partial Impairment (PPI).
This form is used for revoking the election of an incorporated religious, charitable, educational, or U.S. war veterans organization to bring executive officers under the coverage of the New York Workers' Compensation Law in New York.
This form is used for notifying an incorporated religious, charitable, educational, or U.S. war veterans organization in New York about their election to bring executive officers under the coverage of the New York Workers' Compensation Law.
This Form is used for filing requests for assistance by an injured worker in New York. (Spanish)
This Form is used for injured workers in New York who need assistance. It is available in Polish.
This form is used for requesting a refund for security deposits in New York.
This document lists the heirs entitled to inherit property in New York. It provides information about who will receive an individual's assets when they pass away.
This form is used for employees in New York City to submit inquiries or complaints about their workplace.