New York State Insurance Fund Forms and Office Locations – Government Agency in New York

21 - 40 of 115 forms

Form Title	Topics
Claimant Information Packet (Spanish)
Claimant Information Packet (Urdu)
Claimant Information Packet (Yiddish)
Claimant's Authorization to Disclose Workers' Compensation Records
Claimant’s Record of Medical and Travel Expenses
Depo Dirèk (Haitian Creole)
Depósito directo (Spanish)
Dépôt direct (French)
Depozyt Bezpośredni (Polish)
Direct Deposit Application
Doctor's Report of MMI/Permanent Impairment
Employee's Claim for Compensation
Employer’s Application for Voluntary Coverage (No Employee Contribution)
Employer's First Report of Work-Related Injury/Illness
Employer's Report of Injured Employee's Change in Employment Status Resulting From Injury
Employer's Request for Reimbursement
Employer's Statement of Wage Earnings Preceding Date of Accident
Experience Rating Plan Request for Information
Il Fondo di garanzia dello Stato di New York (New York State Insurance Fund, NYSIF) offre ai richiedenti di sussidi di invalidità la possibilità di ricevere l’accredito diretto.
다이렉트 디파짓 (Korean)

New York State Insurance Fund