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Get the free workers compensation application - Insurance Shop - rurallawcenter

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In preparing this Legal Resource Guide, the Rural. Law Center of ... NYS Senior Citizen. Legal ... Tel: (518) 561-5460; Fax: (518) 561-5468; and on the web at www.rurallawcenter.org.) ... In New York
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Workers compensation application is a form that employees can use to file a claim for benefits if they are injured or become ill at work.
Employees who are injured or become ill at work are required to file a workers compensation application.
Workers can fill out the application by providing details about the injury or illness, as well as information about their employer and medical treatment.
The purpose of the workers compensation application is to request benefits for medical treatment and lost wages due to a work-related injury or illness.
Workers must report details about the injury or illness, when it occurred, how it happened, and any medical treatment received.
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