Form OC-403 Application for License to Appear on Behalf of, or Represent, Insurers and / or Self-insurers - New York

Form OC-403 Application for License to Appear on Behalf of, or Represent, Insurers and / or Self-insurers - New York

What Is Form OC-403?

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 OC-403?
A: Form OC-403 is the Application for License to Appear on Behalf of, or Represent, Insurers and/or Self-insurers in New York.

Q: Who should use Form OC-403?
A: Form OC-403 should be used by those who wish to apply for a license to appear on behalf of or represent insurers and/or self-insurers in New York.

Q: What is the purpose of Form OC-403?
A: The purpose of Form OC-403 is to apply for a license that allows individuals to appear on behalf of or represent insurers and/or self-insurers in New York.

Q: What documents or information are required to accompany Form OC-403?
A: The specific documents and information required to accompany Form OC-403 will vary. It is important to review the instructions provided with the form to ensure all necessary documentation is included.

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Form Details:

  • Released on October 1, 2019;
  • 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 OC-403 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.

Download Form OC-403 Application for License to Appear on Behalf of, or Represent, Insurers and / or Self-insurers - New York

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