Search Results

Results 1 - 10 of about 59600 for FORMS.

FORMS - NYSIF

Access frequently-used workers' compensation and disability benefits FORMS below. Many of the FORMS link directly to the Workers' Compensation Board website.

https://ww3.nysif.com/Home/FooterPages/Column1/Forms

Claimant Information Packet - NYSIF

Employers must give injured workers a Claimant Information Packet (available in several languages under Workers' Comp Claim FORMS - Employer) when filing claims.

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutClaims/C...

NYSIF - Español (Spanish)

Español (Spanish) Acceso a los Servicios en su Idioma Llámenos al 1-888-875-5790 si necesita ayuda gratis en su idioma. La política de acceso a otros idiomas del estado de Nueva York exige que las agencias estatales ejecutivas que prestan servicios públicos directos ofrezcan servicios de interpretación en el idioma solicitado y proporcionen los formularios y los documentos importantes en ...

https://ww3.nysif.com/Home/FooterPages/Column3/Spanish

DB-450.pdf - NYSIF

This form is available on the WCB website (www.wcb.ny.gov) and can be accessed by clicking the "FORMS" link. If you do not have access to the internet please call (877) 632-4996. In lieu of Form OC-110A, you may also submit an original signed, notarized authorization letter.

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/2024...

Self-Reporting - NYSIF

Tips on Completing the Reporting FORMS Owners, officers, members, and partners and their gross wages must be included in the owners/officers/members/partners section, even if they are excluded from coverage.

https://ww3.nysif.com/Home/Employer/WCpolicyholder/AboutAuditing...

Authorization/Variance Requests - NYSIF

Medical providers should submit their Attending Doctor's Request for Authorization (C-4Auth) requests and Medical Treatment Guideline (MTG) Variance Requests, FORMS MG-2 and MG-2.1, to NYSIF business offices' MTG teams.

https://ww3.nysif.com/Home/MedicalProvider/TreatmentAuth_Varianc...

About Your Paid Family Leave Claim - NYSIF

Submit your FORMS to NYSIF using one of the methods below. Submit your completed request within 30 days after the first day of your leave to avoid losing benefits.

https://ww3.nysif.com/Home/Claimant/DBClaimant/PaidFamilyLeaveCl...

NYSIF

NYSIF Extreme Heat PPE Premium Credit Program Beat the heat. Protect your workforce. NYSIF is offering a one-time credit to workers’ compensation policyholders for the purchase of essential Personal Protective Equipment (PPE) for extreme heat. Benefits Receive up to 10% credit of annual premium on the purchase of heat-related PPE, with a maximum reimbursement of $1,000 Offset expenses for ...

https://ww3.nysif.com/en

Paid Family Leave - NYSIF

FORMS/Resources: The FORMS below are hosted by the state's Paid Family Leave website. Employee Notice of Paid Family Leave Payroll Deduction for 2025 Employer’s Application for Voluntary Coverage (No Employee Contribution) (PFL-135) Employer’s Application for Voluntary Coverage (Employee Contribution Required) (PFL-136)

https://ww3.nysif.com/Home/Employer/DBpolicyholder/AboutYourPoli...

PFL Form - Request for Family Care Leave - NYSIF

Elegibilidad Las madres y los padres, incluyendo los padres del mismo sexo, pueden tomar tiempo libre remunerado y con protección laboral para vincularse con su nuevo hijo dentro de las primeras 52 semanas después del nacimiento, adopción o colocación de crianza del niño. La tasa de beneficio es del 67 % de su salario semanal promedio hasta el 67 % del salario semanal promedio del estado ...

https://ww3.nysif.com/-/media/Files/DISABILITY_BENEFITS/PDF/NYSI...