Request For Further Action By Carrier/employer

State:
New York
Control #:
NY-RFA-2-WC
Format:
Word; 
PDF; 
Rich Text
Instant download
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Public form

Description Workers Compensation Rfa Form

This form is an official New York Worker's Compensation form which complies with all applicable state codes and statutes. USLF updates all state forms as is required by state statutes and law.

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Rfa 2