Form A-9 Notice That You May Be Responsible for Medical Costs in the Event of Failure to Prosecute, or if Compensation Claim Is Disallowed, or if Agreement Pursuant to Wcl 32 Is Approved - New York (Russian)

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

FAQ

Q: What is Form A-9?
A: Form A-9 is a notice in New York related to potential responsibility for medical costs.

Q: What does Form A-9 inform about?
A: Form A-9 informs individuals about their potential responsibility for medical costs.

Q: When does Form A-9 apply?
A: Form A-9 applies in cases of failure to prosecute or if a compensation claim is disallowed, or if an agreement pursuant to WCL 32 is approved.

Q: What is WCL 32?
A: WCL 32 refers to a specific section of the New York Workers' Compensation Law.

Q: Who receives Form A-9?
A: Form A-9 may be received by individuals involved in workers' compensation cases in New York.

Q: Why might someone receive Form A-9?
A: Someone may receive Form A-9 if their compensation claim is disallowed or if they fail to prosecute their case.

Q: What is the purpose of Form A-9?
A: The purpose of Form A-9 is to notify individuals of their potential responsibility for medical costs in specific circumstances.

Q: Is Form A-9 specific to the Russian language?
A: No, Form A-9 exists in different languages, including Russian.