Workers Compensation Law - eForm in Entire Site at Thomson West
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Notice of Appeal to Appellate Division, Third Department from Decision of Workers' Compensation Board
$18.00

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Return-to-Work Plan Direct Employment (Workers Compensation) 1083
$18.00

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Notice of Payment or Suspension of Death Benefits WC-2a
$18.00

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Re-Application for Self-Insurance by Previously Self-Insured Entity which Restructered SI-1a
$18.00

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Petition For An Order Concerning Payment For Medical Services W.C.C. 31
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Monthly Summary WC98
Release Date: 10/20/2005
$18.00

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Employee's First Notice of Occupational Disease and Claim for Compensation 3-B
$18.00

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Verification of Rehabilitation Treatment WCR-4A
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Benefit Dispute Settlement DWC-25
Release Date: 11/25/2006
$18.00

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Notice to Chair of Withdrawal of Request for Arbitration HP-4
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