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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 (Urdu)
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 Urdu. 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 that informs individuals that they may be responsible for medical costs in certain situations.
Q: When may someone be responsible for medical costs?A: Someone may be responsible for medical costs if there is a failure to prosecute, if the compensation claim is disallowed, or if an agreement pursuant to WCL 32 is approved.
Q: What does WCL 32 refer to?A: WCL 32 refers to Section 32 of the New York Workers' Compensation Law.
Q: What language is this form available in?A: This form is available in Urdu.
Q: Who should use this form?A: Individuals in New York who need to provide notice about potential responsibility for medical costs should use this form.
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;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
Download a fillable version of Form A-9 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
