Rochester New York Carrier's - Employer's Request for Further Action

State:
New York
City:
Rochester
Control #:
NY-RFA-2-WC
Format:
Word; 
PDF; 
Rich Text
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Description

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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Rochester New York Carrier's - Employer's Request for Further Action