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Form C-64 Proof of Death by Physician Last in Attendance on Deceased - New York
What Is Form C-64?
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-64?A: Form C-64 is a document used in New York to provide proof of death by a physician who was last in attendance on the deceased.
Q: Who completes Form C-64?A: A physician who was last in attendance on the deceased completes Form C-64.
Q: What information is included in Form C-64?A: Form C-64 includes information about the deceased, the physician, and the cause of death.
Q: Why is Form C-64 used?A: Form C-64 is used to provide proof of death for legal and administrative purposes.
Form Details:
- Released on January 1, 2011;
- 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 C-64 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form C-64 Proof of Death by Physician Last in Attendance on Deceased - New York
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