Form C-62C Claim for Compensation in Death Case - New York (Chinese)

Form C-62C Claim for Compensation in Death Case - New York (Chinese)

This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York.

The document is provided in Chinese. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form C-62C?A: Form C-62C is a claim for compensation in a death case in New York.

Q: Who can file Form C-62C?A: The spouse, children, or dependents of the deceased employee can file Form C-62C.

Q: What is the purpose of Form C-62C?A: The purpose of Form C-62C is to seek compensation for the death of an employee that occurred due to a work-related injury or illness.

Q: What information is needed to complete Form C-62C?A: To complete Form C-62C, you will need information about the deceased employee and their work-related injury or illness, as well as details about the claimant.

Q: Is there a deadline for filing Form C-62C?A: Yes, you must file Form C-62C within two years of the employee's death in order to be eligible for compensation.

Q: What happens after I submit Form C-62C?A: After you submit Form C-62C, the Workers' Compensation Board will review your claim and determine if you are eligible for compensation.

Q: How long does it take to receive a decision on a Form C-62C claim?A: The processing time for a Form C-62C claim can vary, but you can contact the Workers' Compensation Board for an estimate.

Q: Can I appeal if my Form C-62C claim is denied?A: Yes, if your Form C-62C claim is denied, you have the right to appeal the decision.

Q: Who should I contact if I have questions about Form C-62C?A: If you have questions about Form C-62C, you can contact the New York Workers' Compensation Board or a local Workers' Compensation office.

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Form Details:

  • Released on October 1, 2012;
  • 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;

Download a printable version of Form C-62C by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-62C Claim for Compensation in Death Case - New York (Chinese)

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