New York State Worker's Compensation Forms
Doctor's Progress Report (C-4.2)
Doctor's Report of MMI/Permanent Impairment (C-4.3)
Attending Doctor's Request For Authorization And Carrier's Response (C-4)
Claimant's Record Of Medical And Travel Expenses And Request For Reimbursement (C-257)
Claimant's Record Of Job Seacrh Efforts/Contacts (C-258)
Attorney/Licensed Representative Request To Withdraw From Representation (OC-400.17)
Claim For Volunteer Ambulance Workers' Benefits In A Death (VAW-62)
Social Security Disability Forms
Completing This Form To Appoint A Representative (SSA-1696-U4)
Claimant's Medications (HA-4632)
Claimant's Work Background (HA-4633)
Disability Report-Appeal (SSA-3441-BK)
Authorization To Disclose Information To The Social Security Administration (SSA-827)
Claimant's Recent Medical Treatment (HA-4631)
Request For Hearing By Administrative Law Judge (HA-501-U5)
