If you received treatment for a previous injury to the same body part or for an illness similar to the one described in your current Claim, fill out this form. To file a complaint with the Office of the Workers' Compensation Fraud Inspector General via this website, please complete the information below.The right to compensation or benefits under this chapter, shall be the exclusive remedy to an employee, or in case of death his or her dependents. Get the latest workers' compensation insurance forms for New York. A notice of claim must be filed in writing. A workers' comp waiver of subrogation is a document that states that you are waiving your right for your insurer to seek compensation from a third party. Here is an example of what subrogation is: Suppose while walking in a restaurant, you slipped on wet pavement and suffered a broken ankle. However, 1996 saw a dramatic shift in impleader litigation in New York with the passing of the Workers' Compensation Reform Act. Example: If you are a painting contractor and you begin doing drywall work as well, a new risk classification will need to be assigned to your business. Workers' compensation agreement forms.
