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

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

What Is Form C-3.1I?

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

Q: What does the form contain?A: The form contains information about your rights to choose a doctors for workers' compensation

Q: Who is this form for?A: This form is for anyone who is seeking workers' compensation benefits in New York.

Q: Is the form available in multiple languages?A: Yes, this form is available in both English and Italian.

Q: How can I use this form?A: You can use this form to indicate your choice of a Workers' Compensation Board authorized health care provider in New York.

Q: What is the purpose of selecting a Workers' Compensation Board authorized health care provider?A: Selecting a authorized health care provider ensures that your medical treatment for work-related injuries will be covered by workers' compensation.

Q: What should I do if I have questions about this form?A: If you have questions about this form, you should contact the Workers' Compensation Board in New York for assistance.

Q: Can I choose any doctor for my workers' compensation claim?A: No, you must choose a Workers' Compensation Board authorized health care provider in order for your medical treatment to be covered.

Q: What rights do I have as an injured worker in New York?A: As an injured worker in New York, you have the right to choose a Workers' Compensation Board authorized health care provider and receive medical treatment for your work-related injuries.

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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;
  • Fill out the form in our online filing application.

Download a printable version of Form C-3.1I by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

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

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