Form RFA-1WH Request for Assistance by Injured Worker - New York (Haitian Creole)

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 Haitian Creole. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on April 1, 2017;
• 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 fillable version of Form RFA-1WH by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.