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C3Employee Climate of New York Workers Compensation Board Fills out this form to apply for workers compensation benefits because of a work injury or work related illness. Type or print neatly. This
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Phone number 6 is a field where a contact number can be provided.
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Simply input the contact number in the designated field for phone number 6.
The purpose of phone number 6 is to provide a reliable contact number for communication purposes.
The information required to be reported on phone number 6 is a valid contact number that can be reached.
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