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Search results with tag "Request for further action"
STATE OF NEW YORK - WORKERS' COMPENSATION BOARD …
www.wcb.ny.govREQUEST FOR FURTHER ACTION BY LEGAL COUNSEL. 8. (documentation of medical disability and current earnings required) d. Payments should be adjusted as claimant is working at reduced earnings as of. CERTIFIED BY (Please Print Name) ATTY/REP ID NO. DATE PREPARED (MM/DD/YY) AREA CODE. TELEPHONE NUMBER R. Compensation: Other: …