NY Workers' Compensation Commission

Showing 17–27 of 27 results

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  Notice of Treatment Issue/Disputed Bill

  NYWC_C-8.1 $69.00
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  Notice that Payment of Compensation Has Been Stopped or Modified

  NYWC_C-8/8.6 $89.00
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  Notice that Right to Compensation is Controverted

  NYWC_C-7 $69.00
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  Notice to Chair of Carrier’s Action on Application for Reopening

  RB-679 $69.00
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  Notice to Chair of Carrier’s Action on Claim for Benefits

  NYWC_C-669 $69.00
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  Pre-Hearing Conference Statement

  NYWC_PH-16.2 $69.00
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  Preliminary/Final Claim for Reimbursement of Benefits Paid Under DBL

  NYWCDB470 $69.00
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  Psychologist’s Report

  PS-4 $89.00
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  Request to Suspend or Reduce Payment of Compensation After Direction to Continue Payments

  NYWC_C-22b $69.00
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  Statement that a Business Does Not Require WC or DB Coverage

  NYWC_C-105.21 $69.00
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  Stipulation

  NYWC_C-300.5 $69.00