Form IS-1R Physician's Application for Renewal of Designation as an Impartial Specialist - New York

Form IS-1R Physician's Application for Renewal of Designation as an Impartial Specialist - New York

What Is Form IS-1R?

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 IS-1R?A: Form IS-1R is the Physician's Application for Renewal of Designation as an Impartial Specialist.

Q: Who is this form for?A: This form is for physicians who are seeking to renew their designation as an Impartial Specialist in the state of New York.

Q: What is an Impartial Specialist?A: An Impartial Specialist is a physician who is designated to conduct medical examinations and make determinations on workers' compensation claims in New York.

Q: What information do I need to provide on this form?A: You will need to provide your personal information, contact details, professional qualifications, and a list of cases you have handled as an Impartial Specialist.

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Form Details:

  • Released on February 1, 2013;
  • 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 IS-1R by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form IS-1R Physician's Application for Renewal of Designation as an Impartial Specialist - New York

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