Form C-257 Claimant's Record of Medical and Travel Expenses and Request for Reimbursement - New York (Italian)

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

Form Details:

• Released on November 1, 2021;
• 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;

Download a fillable version of Form C-257 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.