Form OC-400.5 Attorney / Representative's Certification of Form C-3 or Notice of Controversy - New York

Form OC-400.5 Attorney / Representative's Certification of Form C-3 or Notice of Controversy - New York

What Is Form OC-400.5?

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form OC-400.5?
A: Form OC-400.5 is the Attorney/Representative's Certification of Form C-3 or Notice of Controversy in New York.

Q: What is the purpose of Form OC-400.5?
A: The purpose of Form OC-400.5 is for attorneys or representatives to certify the accuracy of the information provided in Form C-3 or Notice of Controversy.

Q: Who needs to file Form OC-400.5?
A: Attorneys or representatives involved in workers' compensation cases in New York need to file Form OC-400.5.

Q: Is there a deadline for filing Form OC-400.5?
A: Yes, Form OC-400.5 must be filed within 30 days of receipt of Form C-3 or Notice of Controversy.

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Form Details:

  • Released on June 1, 2013;
  • The latest edition provided by the New York State Workers' Compensation Board;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form OC-400.5 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form OC-400.5 Attorney / Representative's Certification of Form C-3 or Notice of Controversy - New York

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