Form C-3.1H Notice of Right to Select a Workers' Compensation Board Authorized Health Care Provider - New York (English / Haitian Creole)

Form C-3.1H Notice of Right to Select a Workers' Compensation Board Authorized Health Care Provider - New York (English / Haitian Creole)

What Is Form C-3.1H?

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 C-3.1H?
A: Form C-3.1H is a notice of right to select a Workers' Compensation Board authorized health care provider in New York.

Q: What is the purpose of Form C-3.1H?
A: The purpose of Form C-3.1H is to inform employees about their right to choose a medical provider for a workers' compensation claim.

Q: Who is the target audience for Form C-3.1H?
A: The target audience for Form C-3.1H is employees in New York who have suffered a work-related injury.

Q: What languages is Form C-3.1H available in?
A: Form C-3.1H is available in English and Haitian Creole.

Q: What is the significance of being a Workers' Compensation Board authorized health care provider?
A: Being a Workers' Compensation Board authorized health care provider means that the medical provider is approved by the Board to provide treatment for work-related injuries and illnesses.

Q: Do employees have the right to choose their own medical provider for a workers' compensation claim?
A: Yes, employees have the right to select a Workers' Compensation Board authorized health care provider for their workers' compensation claim.

Q: Is Form C-3.1H mandatory for employers to provide to their employees?
A: Yes, employers are required to provide Form C-3.1H to their employees who suffer a work-related injury in New York.

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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-3.1H by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form C-3.1H Notice of Right to Select a Workers' Compensation Board Authorized Health Care Provider - New York (English / Haitian Creole)

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