Form C-430S Occupational Injury / Illness Statement of Rights - 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.

FAQ

Q: What is Form C-430S?
A: Form C-430S is the Occupational Injury/Illness Statement of Rights form.

Q: Who is this form for?
A: This form is for individuals who have suffered an occupational injury or illness in New York.

Q: Do I need to fill out this form if I'm not a Haitian Creole speaker?
A: No, this specific form is in Haitian Creole. There are other versions in English and other languages.

Q: What is the purpose of this form?
A: The purpose of this form is to inform individuals of their rights regarding occupational injuries or illnesses.

Q: What should I do if I have suffered an occupational injury or illness?
A: If you have suffered an occupational injury or illness, you should seek medical attention and report the incident to your employer as soon as possible.

Q: Are there any deadlines for filing this form?
A: Yes, there are deadlines for filing this form. It is important to consult the New York Workers' Compensation Board or an attorney for specific information.

Q: Can I get assistance with filling out this form?
A: Yes, you can seek assistance from the New York Workers' Compensation Board or consult an attorney for help with filling out this form.

Q: What happens after I submit this form?
A: After you submit this form, the New York Workers' Compensation Board will review your claim and determine if you are eligible for benefits.

Q: Is there any cost associated with filing this form?
A: There is no cost associated with filing this form.