Fill and Sign United States Legal Forms

This form is used to notify individuals that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement pursuant to WCL 32 is approved. The form is available in both English and Polish and is specific to the state of New York.

This Form is used for notifying individuals in New York that they may be responsible for medical costs if their compensation claim is disallowed or if an agreement pursuant to WCL 32 is approved. Available in English and Russian.

This form is used for modifying a previous report in the Alternative Dispute Resolution Program in New York.

This document is used for finalizing a dispute resolution or settlement claim through the Alternative Dispute Resolution Program in New York.

This form is used for reporting the findings of an examination or record review conducted by an impartial specialist in the state of New York.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in English and Chinese.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in English and Haitian Creole languages.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in both English and Italian languages.

This form is used for notifying workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in both English and Korean.

This form is used for informing workers in New York about their right to choose a healthcare provider authorized by the Workers' Compensation Board. The form is available in both English and Polish languages.

This Form is used for notifying workers in New York of their right to choose a healthcare provider authorized by the Workers' Compensation Board. It is available in both English and Russian languages.

This document is a form that allows for the limited release of health information in accordance with HIPAA regulations. It is specifically for use in New York and is available in Chinese.

This form is used for authorizing the limited release of health information according to HIPAA regulations in New York, translated into Haitian Creole.

This form is used as a continuation to the billing section of various other forms in New York for carriers/employers.

This document is for notifying employers about their obligation to provide workers' compensation coverage to employees who are not covered by the Oregon Employment Department Law.

This form is used for authorizing the release of personal information in the state of Oregon.

This document is a form used for requesting a determination of entitlement to Trade Act benefits and services in the state of Oregon.

This Form is used for keeping track of employment search activities in Oregon. It is available in Vietnamese language as well.

This Form is used for filing an amended report in the state of Oregon. It provides instructions on how to correct any errors or update information on a previously filed report.

This document is used for submitting an amended report for Schedule B in the state of Oregon. It is used to correct any errors or update information on the original report.

This Form is used for authorizing electronic deposits in Oregon.

This Form is used for keeping track of employment search activities in the state of Oregon.

This Form is used for filing a motion to hold someone in contempt of court in the state of Ohio. It requires an affidavit as supporting evidence.

This document is used in Ohio to issue a show cause order, notice, and instructions to the clerk. It provides guidance on the procedures and requirements for a legal proceeding.

This document is used for filing a motion to change parenting time (companionship and visitation) in Ohio. It includes a memorandum in support of the motion.

This document is an explanation of health care bills specific to the state of Ohio. It provides information on the details and breakdown of healthcare expenses.

This form is used for summarizing telephone quotations in the state of New Jersey.

This form is used for submitting a preliminary technical proposal for a project in New Jersey.

This document is for creating an investor profile for individuals residing in New Jersey. It helps gather information about an investor's financial goals, risk tolerance, and investment preferences to develop a personalized investment strategy.

This form is used for reporting the total amount of uncompleted contracts in the state of New Jersey.

This Form is used for Tier 1 members in New York to make retirement option elections.

This form is used for Tier 2 members in New York to elect their retirement options.

This document is for individuals who have not received a permit in New York City. It is used to report the issue and request assistance.

This form is used for transferring membership in accordance with Chapter 390 (Laws of 2009) in New York.