New York State Worker's Compensation Forms

Employee Claim (C-3)

Doctor's Initial Report (C-4)

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)

Request For Social Security Statement (SSA-7004-SM)

Social Security Attorney Fee & Retainer Agreement