Get Ny Rb-89.2 2011-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the NY RB-89.2 online
The NY RB-89.2 form is an essential document for individuals seeking reconsideration or a full board review of a decision made by the Workers' Compensation Board in New York. This guide provides clear, step-by-step instructions on how to accurately complete this form online, ensuring you have the necessary information at your fingertips.
Follow the steps to complete the NY RB-89.2 form online
- Click the ‘Get Form’ button to obtain the form, opening it in your preferred editor.
- Begin by entering the WCB case number and carrier case number in the designated fields.
- Fill in the claimant's name and carrier's name accurately, ensuring that all information is complete.
- Provide the date of injury and the address of the claimant. Double-check this information for accuracy.
- Specify who this application is being made on behalf of by selecting from the options provided, such as claimant, employer/carrier, or attorney.
- Enter the filing date of the Memorandum of Decision by the Board Panel.
- Indicate the remedy sought by checking the relevant boxes, selecting from options like Mandatory, Discretionary, or others.
- Check the current status of the case by selecting either 'Disallowed' or 'Established.'
- Specify the issues for review by checking all applicable boxes under the relevant section.
- Detail the grounds for review, providing the foundation or basis for the identified issues.
- Reference any pertinent records or documents related to the issue, including hearings or transcripts.
- Indicate whether an appeal to the Appellate Division will be taken by selecting 'Yes' or 'No.'
- Sign and date the certification section, verifying all provided information is accurate.
- Complete Section 1 for affirmation or affidavit as applicable, ensuring compliance with legal requirements.
- Fill in Section 2 to specify the method by which the application was filed and served, including dates.
- Review the complete form for any errors or missing information before submission.
- Once complete, you may choose to save changes, download the form, print it, or share it as needed.
Complete your NY RB-89.2 form online today to ensure timely processing of your application.
To file for workers' compensation in New York State, start with informing your employer about your injury as soon as possible. Then, fill out the necessary claim forms according to NY RB-89.2 standards. After completing the forms, send them to your employer’s insurance company. For a smoother experience, consider using USLegalForms to access the correct documents and guidance throughout the process.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.